Skilled Nursing Facility Business Office Manager

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.

What You’ll Do

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.