Business Office Manager (Skilled Nursing Facility

Business Office Manager (Skilled Nursing Facility) Overview

IMPORTANT:
This position requires prior Skilled Nursing Facility (SNF) or Long-Term Care (LTC) Business Office experience. Candidates without SNF/LTC experience will not be considered.

We are seeking an experienced, organized, and detail-oriented Business Office Manager to oversee daily business office operations within our Skilled Nursing Facility. The ideal candidate will have hands‑on experience with administrative office functions, resident financial records, accounts receivable support, collections follow‑up, resident trust management, deposits, and coordination with corporate billing or external billing teams.

This position is responsible for maintaining accurate resident financial records, supporting compliance with facility policies and regulatory requirements, managing resident trust and financial documentation, coordinating payment and collection processes, and ensuring the business office runs efficiently and professionally.

• Minimum of 1 year of Business Office Manager experience in a Skilled Nursing Facility (SNF) or Long-Term Care (LTC) setting
• Experience with accounts receivable support, collections follow-up, and resident financial processes
• Knowledge of Medicare, Medi-Cal/Medicaid, Managed Care, and private pay processes preferred
• Experience with resident trust account management, deposits, and financial documentation
• Strong understanding of SNF admissions paperwork and resident financial records
• Excellent organizational, communication, and time-management skills
• Proficiency with Microsoft Office and business office software (i.e. PCC)

• Manage and oversee daily Business Office operations in accordance with federal, state, and local regulations.
• Establish and maintain resident financial files, admissions paperwork, payer information, and required documentation.
• Coordinate with corporate billing or external billing teams regarding Medicare, Medi-Cal/Medicaid, Managed Care, Private Pay, and other payer-related matters.
• Verify resident insurance, payer status, and financial information and communicate updates to the appropriate billing or corporate team.
• Coordinate accounts receivable support, collections follow-up, and communication regarding outstanding balances.
• Assist with Medi-Cal tracking, authorizations, and required resident documentation as applicable.
• Prepare and submit business office, census, accounts receivable, deposit, resident trust, agency, and corporate reports as required.
• Support month-end business office processes, including deposits, reconciliations, and required documentation.
• Maintain positive working relationships with residents, families, hospitals, insurance providers, corporate billing teams, and facility staff.
• Collaborate with Case Management and Discharge Planning teams as needed.
• Attend meetings, trainings, and facility in-services.
• Perform other duties as assigned by the Administrator.