Skilled Nursing Office & Billing Manager

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

Job summary

MISSIONHEALTHCARE is seeking an experienced Business Office Manager (Administrative) for a skilled nursing facility in Renton, WA. The role oversees resident billing, accounts receivable, and cash posting, while ensuring accurate records and compliant processes.

The ideal candidate will manage Medicare/Medicaid and private-pay billing, coordinate with administration and admissions, and support payroll and other administrative duties in a fast-paced healthcare environment.

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.

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

Organizational skills

Communication

Problem-solving

Independent worker

Deadline-driven

Compassionate approach

Tools

Microsoft Office

Healthcare billing software

Job description

MISSIONHEALTHCARE is seeking an experienced Business Office Manager (Administrative) for a skilled nursing facility in Renton, WA. The role oversees resident billing, accounts receivable, and cash posting, while ensuring accurate records and compliant processes.

The ideal candidate will manage Medicare/Medicaid and private-pay billing, coordinate with administration and admissions, and support payroll and other administrative duties in a fast-paced healthcare environment.