4646 – REGIONAL BUSINESS OFFICE MANAGER – GROWING MULTI-SITE LEADERSHIP OPPORTUNITY – SKILLED NURSING COMMUNITY – PORTLAND, OREGION AREA

  • Full Time
  • Anywhere

MedBest is seeking an experienced Regional Business Office Manager for a multi-site leadership opportunity supporting skilled nursing and long-term care communities in the Pacific Northwest.

This is an excellent opportunity for someone who understands the financial and operational side of long-term care and can bring structure, accountability, and leadership to business office operations across multiple centers. The organization is looking for a strong operator who can improve AR performance, support facility teams, strengthen collections processes, and mentor Business Office staff throughout the region.

The Opportunity:
This role is ideal for an experienced BOM leader with strong Medicaid, Medicare, and collections expertise who enjoys being hands-on while also helping build stronger systems and processes across multiple locations. You’ll partner closely with regional leadership and facility teams to improve cash collections, oversee pre-billing operations, and support long-term operational stability throughout the region.

What You’ll Do:

  • Oversee accounts receivable operations across multiple skilled nursing facilities

  • Manage Patient Liability, Private Pay, Medicaid Pending, and other payer AR processes

  • Support regional cash collection goals and improve overall AR performance

  • Assist with pre-billing operations and day-to-day business office oversight

  • Ensure compliance with state, federal, and company regulations

  • Train, mentor, and support Business Office teams throughout the region

  • Collaborate with facility leadership and regional partners to strengthen operational consistency

  • Help drive accountability, process improvement, and business office best practices

Why This Role Stands Out:

  • Regional-Level Impact – Influence operations across multiple facilities

  • Strong Leadership Visibility – Work closely with executive and regional leadership

  • Supportive Team Environment – Collaborative culture focused on accountability and partnership

  • Growth Opportunity – Organization continues investing in infrastructure and support systems

  • Competitive Compensation & Benefits – Strong salary, benefits package, PTO, 401(k), wellness programs, and professional development support

What You Bring:

  • Long-term care Business Office experience required

  • Strong Medicaid knowledge and State MCD experience required

  • Experience with Medicare, Medicare Advantage, and commercial insurance

  • Background in AR management, collections, and pre-billing oversight

  • Ability to lead, mentor, and develop Business Office staff

  • Strong organizational, operational, and communication skills

  • Associate’s degree in Accounting or related field preferred; equivalent experience considered

If this is even remotely on your radar, or just a “maybe,”  let’s connect. Contact Brendan at btateishi@medbest.com

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