Financial Operations Lead - Skilled Nursing

Cedar River Healthcare Center; Benson Hill (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

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

The role focuses on accurate resident billing, AR, collections, and cash posting, with responsibilities spanning Medicare, Medicaid, private-pay, and insurance billing, records maintenance, and

Qualifications

• Experience in a skilled nursing facility billing
• Knowledge of Medicare, Medicaid, 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

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

Skills

Billing & AR

Medicare billing

Medicaid billing

Private-pay billing

Microsoft Office

Healthcare billing software

Job description

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

The role focuses on accurate resident billing, AR, collections, and cash posting, with responsibilities spanning Medicare, Medicaid, private-pay, and insurance billing, records maintenance, and