Traveling Business Office Manager

Apploi; Seattle (WA); Hybrid; USD 80,000 - 90,000; Full time

Job summary

Apploi is seeking a Traveling Business Office Manager to support skilled nursing facilities across Washington State. You will serve as an interim BOM, traveling between sites to strengthen revenue cycle operations, mentor staff, and ensure compliant financial processes.

The role emphasizes Medicaid (Apple Health) knowledge, billing accuracy, accounts receivable, and resident trust oversight, with a hybrid travel-onsite schedule and leadership responsibilities across multiple facilities.

Qualifications

• Minimum of two (2) years of experience in a Skilled Nursing Facility business office setting.
• Minimum of one (1) year of management experience within a Skilled Nursing Facility business office.
• Strong knowledge of Washington State Medicaid (Apple Health), including Medicaid Pending applications and eligibility processes.
• Solid understanding of SNF billing, reimbursement, revenue cycle management, and financial operations.
• Ability and willingness to travel throughout Washington State to provide on-site support.
• Flexibility to assist with staffing vacancies and leadership transitions.
• Excellent organizational, analytical, problem-solving, and time management skills.
• Strong communication and interpersonal skills with ability to train and support teams.
• Ability to manage multiple priorities and meet deadlines.
• PointClickCare (PCC) billing system experience preferred.
• National Data Care RFMS experience preferred.

Responsibilities

• Serve as an interim Business Office Manager at facilities across Washington State when needed.
• Travel between facilities to provide hands-on assistance with operations and revenue cycle.
• Provide training, mentorship, and ongoing support to BOM staff.
• Partner with Administrators and leadership to identify operational improvements.
• Assist with special projects and revenue cycle initiatives.
• Assist with Medicaid Apple Health applications, eligibility verification, and Medicaid Pending accounts.
• Monitor Medicaid Pending applications and pursue timely processing.
• Coordinate with state agencies, residents, families, and others to obtain documentation.
• Identify and resolve eligibility issues delaying reimbursement.
• Maintain documentation and compliance with Medicaid requirements.
• Support billing, accounts receivable, collections, and month-end closes.
• Monitor aging balances and develop strategies to reduce AR.
• Manage front-end and back-end collection efforts; resolve discrepancies.
• Ensure accurate and timely billing and reimbursement.
• Oversee resident trust fund accounting and related audits and reconciliations.

Skills

SNF experience

Management exp

Medicaid knowledge

Travel readiness

Revenue cycle

Billing & collections

Communication skills

Training & mentoring

Analytical skills

Time management

Tools

PCC billing system

RFMS

Job description

Traveling Business Office Manager (BOM) – Skilled Nursing Facilities

Location: Washington State Region | Travel Required

Salary Range: $80,000–$90,000 annually
Schedule: Full-Time | Hybrid/Travel

Join Our Team as a Traveling Business Office Manager!

We have an exciting opportunity for an experienced Traveling Business Office Manager (BOM) to support our skilled nursing facilities throughout Washington State!

We are seeking a knowledgeable, organized, and adaptable Business Office professional who understands the complexities of skilled nursing revenue cycle operations and enjoys making a difference across multiple facilities.

This position is ideal for someone who thrives in a fast-paced environment, enjoys problem-solving, and is comfortable traveling between facilities to provide hands‑on support, training, and operational guidance.

Extensive knowledge and hands‑on experience with Washington State Medicaid (Apple Health), including Medicaid Pending applications and eligibility processes, is strongly preferred.

As a Traveling BOM, you will partner closely with facility Administrators, regional leadership, and Business Office teams to support daily operations, improve revenue cycle performance, assist with staffing transitions, and ensure business office processes run efficiently.

What You'll Do – Key Responsibilities

Regional Business Office Support

• Serve as an interim Business Office Manager at skilled nursing facilities throughout Washington State when vacancies, transitions, or additional operational support needs arise.

• Travel between facilities to provide hands‑on assistance with business office operations and revenue cycle management.

• Provide training, mentorship, and ongoing support to newly hired and existing Business Office Managers.

• Partner with facility Administrators and regional leadership to identify opportunities for operational improvement.

• Assist with special projects and revenue cycle initiatives as assigned.

Medicaid & Eligibility Management

• Assist with Washington State Medicaid (Apple Health) applications, eligibility verification, and Medicaid Pending accounts.

• Monitor Medicaid Pending applications and follow up to ensure timely processing and resolution.

• Coordinate with state agencies, outside vendors, residents, families, and responsible parties to obtain necessary documentation.

• Identify and resolve eligibility issues that may delay reimbursement.

• Maintain accurate documentation and ensure compliance with applicable Medicaid requirements.

Accounts Receivable, Billing & Collections

• Support facility billing, accounts receivable, collections, and month‑end closing processes.

• Monitor outstanding balances and assist with developing strategies to reduce aging accounts receivable.

• Manage front‑end collection efforts for balances due from residents during their stay.

• Assist with back‑end collection efforts for outstanding balances following discharge.

• Work collaboratively with facility teams to resolve billing discrepancies, payment delays, and outstanding claims.

• Help ensure accurate and timely billing and reimbursement.

Resident Trust & Financial Compliance

• Oversee and support resident trust fund accounting in accordance with applicable state and federal regulations.

• Assist with resident trust reconciliations, audits, and resolution of discrepancies.

• Ensure appropriate documentation, recordkeeping, and internal controls are maintained.

• Support facilities with audit preparation and responses to documentation requests.

• Identify opportunities to strengthen financial processes and regulatory compliance.

What We're Looking For – Minimum Qualifications

• Minimum of two (2) years of experience in a Skilled Nursing Facility business office setting, including billing, collections, accounts receivable, and resident trust accounting.

• Minimum of one (1) year of management experience within a Skilled Nursing Facility business office.

• Strong knowledge of Washington State Medicaid (Apple Health), including Medicaid Pending applications and eligibility processes, strongly preferred.

• Solid understanding of skilled nursing billing, reimbursement, revenue cycle management, and financial operations.

• Ability and willingness to travel throughout Washington State to provide on‑site facility support as needed.

• Flexibility to step into facilities experiencing staffing vacancies, leadership transitions, or operational challenges.

• Excellent organizational, analytical, problem‑solving, and time management skills.

• Strong communication and interpersonal skills, with the ability to train and support facility teams.

• Ability to manage multiple priorities while maintaining accuracy and meeting deadlines.

• PointClickCare (PCC) billing system experience preferred.

• National Data Care Resident Funds Management System (RFMS) experience preferred.

Compensation

$80,000–$90,000 annually

Compensation will be based on several factors, including relevant experience, qualifications, Washington State Medicaid expertise, skills, and competencies, and may fall outside the posted range.

Why Join Our Team?

As a Traveling Business Office Manager, you'll have the opportunity to make a meaningful impact across multiple skilled nursing facilities while helping strengthen financial operations and support facility teams.

What Makes This Opportunity Stand Out:

• Competitive Salary: $70,000–$80,000 annually.

• Regional Impact: Support multiple skilled nursing facilities throughout Washington State.

• Leadership Opportunities: Train, mentor, and support Business Office professionals.

• Professional Growth: Expand your expertise in Medicaid, revenue cycle management, and regional operations.

• Variety & Flexibility: Enjoy a dynamic position where each day brings new opportunities and challenges.

• Collaborative Environment: Partner with facility Administrators, regional leaders, and experienced healthcare professionals.

• Meaningful Work: Help facilities strengthen financial performance while supporting quality resident care.

Equal Opportunity Employer

We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, or promotion based on race, ethnicity, gender, gender identity, age, disability, protected veteran status, or any other status protected by applicable law.

We proudly support and encourage individuals with military experience, including active‑dut y service members, veterans, reservists, National Guard members, and military spouses, to apply for our career opportunities.