Business Office Manager

MISSIONHEALTHCARE; Renton (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

MISSIONHEALTHCARE is seeking an experienced Business Office Manager to oversee daily financial and administrative operations for a skilled nursing facility. The role emphasizes accuracy, integrity, and patient-focused service in a fast-paced healthcare setting.

Responsibilities include resident billing, AR, collections, Medicare/Medicaid processing, and payroll support; ensuring regulatory compliance and collaboration with administrators, admissions, and corporate offices.

Qualifications

• Experience in business office, billing, or AR in a skilled nursing facility.
• Knowledge of Medicare/Medicaid, private-pay, and managed care billing.
• Strong organizational, communication, and problem-solving skills.

Responsibilities

• Oversee resident billing, accounts receivable, collections, and cash posting.
• Manage Medicare, Medicaid, private-pay, and insurance billing processes.
• Verify resident financial information and maintain accurate records.
• Monitor aging reports and follow up on outstanding balances.
• Coordinate with Administrator, admissions, and departments.
• Process accounts payable and support payroll tasks.
• Maintain compliance with policies and regulations.
• Protect confidential information.

Skills

Organization

Communication

Problem-solving

Independence

Deadline-oriented

Prioritization

Microsoft Office

Healthcare billing software

Tools

Microsoft Office

Healthcare billing software

Job description

Business Office Manager -Skilled Nursing Facility

Salary: $70,000-$90,000 annually

We are seeking an experienced and organized Business Office Manager to oversee the day-to-day financial and administrative operations of a skilled nursing facility. The ideal candidate is detail-oriented, dependable, and comfortable managing multiple priorities in a fast-paced healthcare environment.

Key Responsibilities:

• Oversee resident billing, accounts receivable, collections, and cash posting
• Manage Medicare, Medicaid, private-pay, and insurance billing processes
• Verify resident financial information and maintain accurate account records
• Monitor aging reports and follow up on outstanding balances
• Assist residents and families with billing questions and financial paperwork
• Coordinate closely with the Administrator, admissions team, corporate office, and department leaders
• Process accounts payable, deposits, and other business office transactions
• Support payroll and employee-related administrative functions as needed
• Maintain compliance with company policies and all applicable state and federal regulations
• Protect confidential resident, employee, and financial information

Qualifications:

• Previous business office, billing, or accounts receivable experience in a skilled nursing facility is strongly preferred
• Knowledge of Medicare, Medicaid, managed care, and private-pay billing
• Strong organizational, communication, and problem-solving skills
• Ability to work independently, meet deadlines, and manage competing priorities
• Proficiency with Microsoft Office and healthcare billing or accounting software
• A professional, compassionate approach when working with residents, families, and team members

We offer competitive compensation, a supportive team environment, and the opportunity to play an important role in the success of our facility.

We are an Equal Opportunity Employer and consider applicants without regard to race, color, religion, sex, national origin, age, disability, veteran status, genetic information, or any other protected characteristic.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.