Payroll Director

Payroll Director / Business Office Manager – Skilled Nursing Facility

Location : Palace Care Center

We are seeking an experienced and detail-oriented Payroll Director / Business Office Manager.  This leadership role is responsible for ensuring accurate payroll processing, effective billing and collections management, and overall fiscal integrity of the facility.

The ideal candidate will have strong analytical skills, excellent communication abilities, and a solid understanding of healthcare reimbursement, payroll compliance, and resident financial management.

Responsibilities :

Process and oversee biweekly payroll for all staff, ensuring accuracy and compliance with federal, state, and company regulations

Maintain accurate employee records, timekeeping data, and deductions

Oversee billing and collections for Medicaid, Medicare, private insurance, and private pay residents

Manage accounts receivable, resident trust funds, and cash reconciliation

Prepare and submit monthly financial and census reports to administration and corporate

Collaborate with HR and department heads regarding employee status changes and payroll adjustments

Communicate with residents and families regarding billing and financial responsibilities

Supervise business office staff and ensure efficient daily office operations

Maintain compliance with all applicable state and federal regulations

Qualifications :

3+ years of experience in business office management or payroll, preferably in a Skilled Nursing or healthcare setting

knowledge of Medicaid, Medicare, and third-party billing

• Strong leadership, organization, and problem-solving skills

Ability to handle confidential information with discretion and professionalism

We offer :

Competitive salary, comprehensive benefits, and a supportive work environment that values integrity, teamwork, and excellence in care.

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