Business Office Manager - Skilled Nursing Facility (Medicare, Medicaid, SNF, LTC)

• Manage all financial operations of the Skilled Nursing Facility, with a focus on Medicare, Medicaid, and private pay billing, collections, and reimbursement processes specific to long-term care.
• Oversee month-end closing, census reconciliation, and resident trust fund accounting in compliance with CMS regulations.
• Ensure full compliance with state, federal, and CMS requirements related to financial and administrative operations in a skilled nursing environment.
• Develop and maintain policies and procedures for accurate billing, timely collections, and proper documentation to support audits and state surveys.
• Collaborate with clinical and admissions teams to ensure accurate payer source setup, authorization tracking, and documentation for MDS and PDPM processes.
• Manage SNF billing procedures, accounts receivable management, and resident financial counseling.
• Maintain strong relationships with vendors, insurance representatives, and regulatory agencies, ensuring contracts and services support facility operations.

• Bachelor’s degree in business administration, accounting, or related field (or equivalent work experience in long-term care financial management).
• Minimum of 3 years as a Business Office Manager or similar role in a Skilled Nursing Facility (SNF) 
• In-depth knowledge of Medicare, Medicaid, Managed Care, and private pay reimbursement processes, including PDPM.
• Proven experience managing accounts receivable, census reconciliation, and resident trust funds in compliance with state and federal regulations.
• Familiarity with SNF billing software (e.g., PointClickCare, MatrixCare, or similar).
• Strong leadership and staff management skills, with the ability to train and mentor business office personnel in skilled nursing financial processes.
• Excellent organizational skills with the ability to handle multiple priorities in a fast-paced regulatory environment.

Benefits for Full-Time Associates at Chapters Living:

• Medical, Dental & Vision Insurance
• Voluntary Life Insurance
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP) when enrolled in medical plan
• Accrued Paid Time Off
• Referral Bonus Opportunities
• Same Day Pay – Get Paid When You Need It!

Benefits begin after 90 days of employment.

Perks for Part-Time Associates at Chapters Living:

• Referral Bonus Opportunities
• Same Day Pay – Access Your Earnings When You Need Them!
• Be part of a team that values your time and rewards your impact.