Avamere Skilled Advisors, LLC
Business Office Manager - Medicare / Medicaid Billing
Avamere Skilled Advisors, LLC, Seattle, Washington, us, 98127
Business Office Manager - Medicare / Medicaid Billing
Job Category: Administrative Requisition Number: BUSIN027567 Location: Avamere Rehabilitation of Park West - 1703 California Ave SW, Seattle, WA 98116 Posted: September 18, 2025 Full-Time Overview
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. Responsibilities
Accounts Receivable
Manage the business office systems in accordance with Avamere policies and procedures including completion of daily, weekly, and monthly tasks. 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 accounts. Apply knowledge of skilled nursing insurance billing including Medicare, Medicaid, private insurance, HMOs, and co-insurances. Stay current with facility contracts along with industry changes, covered charges, and billing practices. Communicate with residents and/or responsible parties regarding bills and financial obligations per collection policy. Participate in monthly A/R review and complete necessary reports. Complete the month end close within designated timeframe by utilizing the month end daily task form and month end checklist. Manage bad debt logs, refund tracking, adjustments, and quality checks.
Maintain accurate and up-to-date records of business office functions including A/R, A/P, admissions and census numbers, resident insurance information and financial files, bank deposits, petty cash, and resident trust accounts. 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. Provide prompt, professional, and courteous customer service to residents, family members, vendors, and outside representatives. Review resident trust accounts, follow policy and procedures as well as state regulations, and perform month end reconciliations. Assist in implementing day-to-day accounting functions. 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 for quantity, unit price, extensions, and accuracy. Forward invoices to appropriate departments for approval. Code invoices with appropriate chart of account numbers to ensure expenses are distributed correctly. Communicate with suppliers/vendors concerning errors or questions on invoices.
Perform functions of computer/data processor efficiently
Maintain and secure usernames and access. Stay up to date on all programs and software used by the facility.
Ensure resident admission contracts are signed and appropriately filed per BOM admission checklist. Payroll (if required by facility)
Assist in preparing payroll and time sheets as directed. Maintain payroll records, process timecards, paychecks, and various payroll taxes and deductions as directed.
Report known or suspected incidents of fraud, waste and abuse to the appropriate supervisor. Participate in all compliance training and facility mandatory in-service programs. Follow established safety regulations including fire protection, infection control, and related policies. Assist in preparing budgets and financial information as requested. Ensure residents' rights to fair and equitable treatment, self-determination, privacy, and civil rights are upheld. Qualifications
2 years medical billing experience required, SNF preferred, including Medicare, Medicaid. At least 3 years of bookkeeping or accounting experience. SNF accounting experience preferred but not required. High school diploma or equivalent. Proficient in Microsoft Word, Excel, and email. Knowledge of computers, data entry/retrieval, and reporting. Ability to read, write, speak, and understand English. Ability to make independent decisions when warranted; tactful interaction with staff, residents, families, and the public. Typing speed of 45 WPM and 10-key data entry skills. Ability to work independently and with others; meet deadlines with potential interruptions. Ability to plan, organize, develop, implement, and interpret accounting programs, policies, and procedures. Ability to understand and conduct written and oral communication; willingness to adopt new methods and principles in accounting practices. Ability to examine and verify financial documents and prepare financial records clearly. Must not pose a direct threat to the health or safety of others. Benefits
Health Insurance: Comprehensive medical, dental, and vision plans. Low deductible. 401(k) Plan: After 90 days with matching program. PTO: Up to 4 weeks per year, 6 holidays and sick leave. EAP with unlimited telehealth mental health visits. Continuing Education and Higher Education Reimbursement. Flexible Spending Accounts & CERA: Medical FSA, Dependent Care FSA, and CERA. Professional Development and growth opportunities. Voluntary benefits: Life insurance, disability coverage, and more. Avamere is an Equal Opportunity Employer and participates in E-Verify #Clinical95 Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Job Category: Administrative Requisition Number: BUSIN027567 Location: Avamere Rehabilitation of Park West - 1703 California Ave SW, Seattle, WA 98116 Posted: September 18, 2025 Full-Time Overview
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. Responsibilities
Accounts Receivable
Manage the business office systems in accordance with Avamere policies and procedures including completion of daily, weekly, and monthly tasks. 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 accounts. Apply knowledge of skilled nursing insurance billing including Medicare, Medicaid, private insurance, HMOs, and co-insurances. Stay current with facility contracts along with industry changes, covered charges, and billing practices. Communicate with residents and/or responsible parties regarding bills and financial obligations per collection policy. Participate in monthly A/R review and complete necessary reports. Complete the month end close within designated timeframe by utilizing the month end daily task form and month end checklist. Manage bad debt logs, refund tracking, adjustments, and quality checks.
Maintain accurate and up-to-date records of business office functions including A/R, A/P, admissions and census numbers, resident insurance information and financial files, bank deposits, petty cash, and resident trust accounts. 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. Provide prompt, professional, and courteous customer service to residents, family members, vendors, and outside representatives. Review resident trust accounts, follow policy and procedures as well as state regulations, and perform month end reconciliations. Assist in implementing day-to-day accounting functions. 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 for quantity, unit price, extensions, and accuracy. Forward invoices to appropriate departments for approval. Code invoices with appropriate chart of account numbers to ensure expenses are distributed correctly. Communicate with suppliers/vendors concerning errors or questions on invoices.
Perform functions of computer/data processor efficiently
Maintain and secure usernames and access. Stay up to date on all programs and software used by the facility.
Ensure resident admission contracts are signed and appropriately filed per BOM admission checklist. Payroll (if required by facility)
Assist in preparing payroll and time sheets as directed. Maintain payroll records, process timecards, paychecks, and various payroll taxes and deductions as directed.
Report known or suspected incidents of fraud, waste and abuse to the appropriate supervisor. Participate in all compliance training and facility mandatory in-service programs. Follow established safety regulations including fire protection, infection control, and related policies. Assist in preparing budgets and financial information as requested. Ensure residents' rights to fair and equitable treatment, self-determination, privacy, and civil rights are upheld. Qualifications
2 years medical billing experience required, SNF preferred, including Medicare, Medicaid. At least 3 years of bookkeeping or accounting experience. SNF accounting experience preferred but not required. High school diploma or equivalent. Proficient in Microsoft Word, Excel, and email. Knowledge of computers, data entry/retrieval, and reporting. Ability to read, write, speak, and understand English. Ability to make independent decisions when warranted; tactful interaction with staff, residents, families, and the public. Typing speed of 45 WPM and 10-key data entry skills. Ability to work independently and with others; meet deadlines with potential interruptions. Ability to plan, organize, develop, implement, and interpret accounting programs, policies, and procedures. Ability to understand and conduct written and oral communication; willingness to adopt new methods and principles in accounting practices. Ability to examine and verify financial documents and prepare financial records clearly. Must not pose a direct threat to the health or safety of others. Benefits
Health Insurance: Comprehensive medical, dental, and vision plans. Low deductible. 401(k) Plan: After 90 days with matching program. PTO: Up to 4 weeks per year, 6 holidays and sick leave. EAP with unlimited telehealth mental health visits. Continuing Education and Higher Education Reimbursement. Flexible Spending Accounts & CERA: Medical FSA, Dependent Care FSA, and CERA. Professional Development and growth opportunities. Voluntary benefits: Life insurance, disability coverage, and more. Avamere is an Equal Opportunity Employer and participates in E-Verify #Clinical95 Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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