Business Office Manager (Skilled Nursing) at Fairlawn Health & Rehabilitation of Cascadia – Gresham, Oregon

Schedule: Full-Time | Onsite

Fairlawn Health and Rehabilitation is a leading skilled nursing and rehabilitation provider dedicated to enhancing the well-being and quality of life of every resident we serve. We’re seeking a detail-oriented, experienced Business Office Manager (BOM) to oversee financial operations, billing, collections, and administrative functions within our skilled nursing facility.

This is a great opportunity for someone passionate about healthcare and operations to lead with purpose and make a meaningful impact in a resident-centered environment.

Key Responsibilities

• Establishes and maintains financial files for all residents related to admission, billing, and collection of accounts receivable in accordance with regulatory requirements.
• Prepares accurate and timely billing for routine and ancillary services to state agencies, Medicare, Veterans Affairs, private payors and other billing agents. Actively manages collection process for facility.
• Maintains current copy of facility license(s) and proof of insurance coverage.
• Completes all necessary documentation and updates applicable system data related to cash receipts, account research and adjustments, transfer of depository cash, and daily census activity.
• Reviews payment policies and procedures with new admissions and their responsible parties.
• Documents business office processes on an ongoing basis.
• Administers and reconciles resident trust accounts and petty cash at least monthly.
• Performs month-end close procedures and prepares and submits all required reports.
• When assigned by CEO, provides supervision and assistance to the Human Resources/Payroll designee and other business office staff.
• Provides support to other Business Office Managers, by working as a valuable partner
• Conducts job responsibilities in accordance with the standards set out in the Company’s Code of
• Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.
• Performs other tasks as assigned.

Qualifications

• High school diploma or equivalent required; Bachelor’s degree in Accounting or Business preferred
• Minimum of 3 years’ experience in billing, collections
• Healthcare, skilled nursing, or long-term care experience strongly preferred
• Knowledge of Medicare, Medicaid, and private pay billing processes
• Proficient in Microsoft Office Suite and EMR/financial systems
• Strong communication, organization, and problem-solving skills
• Ability to manage multiple priorities, meet deadlines, and maintain confidentiality

What We Offer

• Competitive pay (DOE)
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Paid vacation and sick days
• Life insurance
• Short-term and long-term disability
• Employee Assistance Program (EAP)
• Supportive team environment with opportunities for growth

Ready to Take the Next Step?

If you’re looking for a rewarding opportunity to lead business operations in a mission-driven healthcare setting, we’d love to hear from you. Join a team where your expertise supports compassionate care and meaningful outcomes every day.

Apply today and become a vital part of the Fairlawn Health & Rehabilitation team and join the Force For Good.

Education

High school diploma or equivalent required.

BA degree in Accounting or Business is preferred.

Licenses/Certification

Valid driver’s license required

Experience

Six months experience in a long-term care environment preferred.

Three years of experience in accounts receivable, collections or similar area of responsibility.

Three years office or administration experience preferred.