Business Office Manager - Medicare​/Medicaid Billing

Business Office Manager - Medicare / Medicaid Billing

Job Category: Administrative

Requisition Number: BUSIN
028519

• Posted:
  December 26, 2025
• Full-Time

Showing 1 location

Location: Avamere Rehabilitation of Park West - 1703 California Ave SW, Seattle, WA 98116

We are seeking an experienced Business Office Manager to oversee the financial and administrative operations of our Skilled Nursing Facility. The ideal candidate will have a strong background in managing business functions within an SNF, including billing, accounts receivable, and payroll.

• Accounts Receivable
  • Manage the business office systems in accordance with Avamere policies and procedures including completion of daily, weekly, and monthly tasks and non-
  • Perform routine billing process by ensuring billing is set up, billed, and collected timely and accurately.
  • Ensure payer tree accuracy for all new admissions and payer changes as well as insurance verification upon admission and year end.
  • Identify, research and correct billing discrepancies timely and communicate with the administrator and regional support to problem solve and collect on difficult
  • Applies knowledge of skilled nursing insurance billing including but not limited to Medicare, Medicaid, private insurance, HMOs, and co-insurances.
  • Stays current with facility contracts along with industry changes, covered charges, and billing practices.
  • Communicates with residents and/or responsible parties regarding bills and financial obligations per collection policy.
  • Participated in monthly A/R review and completes necessary reports as
  • Complete the month end close within designated timeframe by utilizing the month end daily task form and month end check list. Expectations for the month end process include bad debt logs, refund tracking log, adjustment log, triple check, etc.
• Maintains accurate and up to date records of business office functions including accounts receivable (A/R), accounts payable (A/P), admissions and census numbers, resident insurance information and financial files, bank deposits, petty cash, and resident trust
• Engage as part of the management team by actively contributing to problem solving, decision making, center and company-wide initiatives and attending management team meetings such as stand up, triple check, utilization review (UR) quality assurance performance improvement (QAPI), AR, and other meetings as required.
• Provides prompt, professional, and courteous customer service to residents, family members, vendors, and outside representatives.
• Review resident trust accounts, follow Avamere policy and procedures as well as state regulations, and month end reconciliation.
• Assist in implementing the day-to-day functions of the accounting
  • Prepare monthly accrual logs of open invoices and reclasses as Assist in preparing expense reports, petty cash reconciliation, etc.
• Accounts payable (if required by facility)
  • Process and verify payment of invoices on a timely basis including verifying purchase orders and invoices match.
  • Verify invoices received for quantity, unit price, extensions, and
  • Forward invoices to appropriate department personnel for approval for
  • Code invoices with appropriate chart of account number to assure that expenses are distributed to the correct expense account and vendors.
  • Communicate with suppliers/vendors concerning errors or questions on
• Perform functions of computer/data processor efficiently and
  • Maintain and secure usernames and
  • Stay up to date on all programs and software that are utilized by
• Ensure that resident admission contracts are signed and appropriately filed per BOM admission checklist.
• Payroll (if required by facility)
  • Assist in preparing payroll, time sheets, , as directed.
  • Maintain payroll to include maintenance of employee records, processing timecards, paychecks, computation of federal and state payroll taxes, miscellaneous deductions, etc., as directed.
• Report known or suspected incidents of fraud, waste and or abuse to the
• Participation in all compliance training
• Attend and participate in facility mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).
• Follow established safety…