Business Office Manager Skilled Nursing

Job Description

Job Description

Why You’ll Love Working Here

Atrium Centers is a 100% employee-owned skilled nursing organization where leadership, accountability, and teamwork matter. As a Business Office Manager, you play a critical role in supporting residents, families, and facility operations through accurate financial management and regulatory compliance.

At Atrium, you’re not just an employee — you’re an owner . We invest in our people, value every voice, and foster a culture built on compassion, respect, and shared success.

You will lead and oversee all financial and administrative operations of the Business Office in a skilled nursing facility, ensuring accuracy, timeliness, and compliance.

Key Responsibilities Include:

• Manage daily Business Office operations in a long-term care setting

• Oversee Accounts Receivable, Accounts Payable, billing, and Resident Trust Accounts

• Process bi-weekly payroll accurately and on time

• Maintain census records, resolve discrepancies, and submit required reports

• Ensure accurate documentation and billing for Medicare, Medicaid, and third-party payors

• Follow up on past-due accounts with proper supporting documentation

• Communicate with residents, responsible parties, insurance companies, and agencies

• Assist with onboarding and maintain employee files in collaboration with HR/BOA

• Manage budgets, office supplies, and financial documentation

• Ensure compliance with federal, state, and company policies and procedures

• High School Diploma or GED required

• Minimum 3 years of bookkeeping or Business Office experience

• Long-term care/skilled nursing Business Office experience strongly preferred

• AR/AP experience preferred

• Proficiency in Microsoft Office

• Strong understanding of policies, procedures, and regulatory requirements

• Excellent written and verbal communication skills

• Highly organized with strong attention to detail and follow-through

• Dependable, solution-focused, and able to work independently

• 100% Employee-Owned (ESOP)

• 401(k) Matching

• Medical, Dental, Vision & Life Insurance

• Paid Time Off & Holiday Pay

• Cell Phone Discounts

• Tuition Reimbursement — grow your career with our support

Atrium Centers…Be a light…to all residents, their families, and team members.

“Our mission is to serve as a bright light in the lives of our residents and families by delivering compassionate, quality care in the communities they call home.”

Built on Compassion, Community, and Clinical Excellence , Atrium Centers offers a workplace where your expertise matters and your leadership makes a real impact.

If you’re an experienced Business Office professional ready to take ownership and grow with a mission-driven organization, we invite you to apply today .