Corporate Bookkeeper - Skilled Nursing Home

Overview

 The Corporate Bookkeeper for a skilled nursing home chain manages the day-to-day financial operations across multiple facilities, ensuring compliance with healthcare-specific billing (Medicare/Medicaid) and maintaining accurate financial records. This role bridges facility-level administrative actions with corporate financial reporting, focusing on accounts payable, accounts receivable, and resident trust funds.   Key Performance Indicators

• Timely completion of month-end closing.
• Accuracy of resident trust fund audits.
• Reduction in outstanding accounts receivable. 

Responsibilities

Core Responsibilities

• Accounts Receivable & Billing: Manage resident accounts, including processing private pay, Medicaid/Medicare billing, and insurance claims.
• Accounts Payable: Review, code, and process vendor invoices for multiple facilities, ensuring timely payment and accurate expense distribution.
• Reconciliations & Reporting: Reconcile bank statements for multiple locations and assist in preparing monthly financial statements, including balance sheets and profit & loss statements.
• Resident Trust Accounts: Maintain meticulous records of resident trust fund disbursements and receipts, ensuring regulatory compliance.
• Payroll Support: Assist with payroll processing, monitoring employee time sheets, and managing payroll tax documentation.
• General Ledger Maintenance: Post daily transactions and maintain the general ledger for the corporation.
• Compliance: Ensure all financial activities adhere to HIPAA regulations and state/federal long-term care regulations. 

Qualifications

Required Qualifications

• Experience: 3–5+ years of experience in bookkeeping, specifically within long-term care, skilled nursing, or a multi-facility healthcare environment.
• Education: Associate’s degree in Accounting or Business, or equivalent experience.
• Software Proficiency: Strong proficiency in QuickBooks, Sage, or Yardi Voyager; advanced Excel skills (pivot tables, vlookups).
• Technical Knowledge: In-depth knowledge of GAAP (Generally Accepted Accounting Principles) and Medicare/Medicaid billing regulations.
• Soft Skills: High attention to detail, strong organizational skills, and the ability to maintain confidentiality.