Traveling Business Office Manager

Location: Washington State Region | Travel Required

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

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.

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.

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