Long-Term Care Billing & Office Lead

RiseMe; Coeur d'Alene (ID); On-site; USD 42,000 - 64,000; Full time

Job summary

Cascadia Healthcare is seeking a detail-driven Business Office Manager to oversee billing, collections, resident trust accounts, and financial records for our long-term care facility.

You will lead the business office team, ensure compliance and timely reporting, and promote compassionate, resident-focused administration that supports both clinical care and operational excellence. Strong communication, integrity, and proficiency with Microsoft Office are essential.

Qualifications

• Minimum high school diploma required; BA preferred in accounting or business.
• Experience in long-term care billing is preferred.
• Strong communication and organizational skills essential.
• Ability to lead a team and manage multiple tasks.
• Knowledge of Medicaid/Medicare billing a plus.
• Background check required.

Responsibilities

• Manage Medicaid/Medicare and private pay billing and collections.
• Maintain resident trust accounts and monthly reconciliations.
• Oversee daily census activity and month-end close procedures.
• Ensure compliance with licensure and insurance documentation.
• Supervise business office staff and coordinate with HR/payroll designees.
• Communicate payment policies clearly to residents and families.

Skills

Leadership

Communication

Organization

Attention to detail

Billing & collections knowledge

Microsoft Office proficiency

Team management

Integrity & professionalism

Education

High school diploma

BA in Accounting or Business

Tools

Microsoft Excel

Accounting software

Job description

Cascadia Healthcare is seeking a detail-driven Business Office Manager to oversee billing, collections, resident trust accounts, and financial records for our long-term care facility.

You will lead the business office team, ensure compliance and timely reporting, and promote compassionate, resident-focused administration that supports both clinical care and operational excellence. Strong communication, integrity, and proficiency with Microsoft Office are essential.