Business Office Manager Jobs in Washington
Business Office Manager jobs in Washington are in strong demand, with active hiring concentrated in healthcare administration, higher education, and professional services across experience levels from administrative coordinator to senior operations director. Seattle, Spokane, and Bellevue are the primary hiring metros, with major employers such as Providence Health, the University of Washington, and Kaiser Permanente maintaining consistent openings. The most sought-after specialties in Washington are medical office management, multi-site operations oversight, and healthcare billing compliance. Find a role that fits below and apply directly.
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Flexible Weekend Coverage Required
Typing Proficiency Required! Basic Knowledge of Microsoft Excel, Knowledge of PCC and/or Paycom would be Helpful
The Business Office Manager is a key and visible department supervisor working directly with all residents, families, and employees. The Business Office Manager is responsible for the timely input of information within the accounting systems of the community. The Business Office Manager is directly involved in the maintenance of accurate and complete accounting records, census information, billing and resident accounts receivable statements.
- Inputs resident financial information within the billing system and maintains accurate and complete financial data for each of the residents, both in the computer system and a hard copy in resident files.
- Responsible for private pay collections.
- Responsible for the timely collection of all accounts receivable. Follows up directly with slow payors and initiates collection actions
- This will necessitate dealings with Medicare and/or Medicaid billing personnel.
- Accounts Payable Accurately codes then verify goods and services rendered. Ensures all invoices are properly approved.
- Follows and adheres to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information.
- Uses and/or discloses only a minimum amount of Protected Health Information necessary to complete assigned tasks.
- Reports all suspected violations of the company’s HIPAA policies or procedures to the Facility Privacy Designee.
- Invoice processing for the community. The Business Office Manager is the primary individual responsible for the timely collection of accounts receivable from all payor sources.
- Experience with Electronic Medical Records preferred.
- High School diploma or equivalent.
- First-level accounting, or basic bookkeeping course, or prior long-term care bookkeeping experience is strongly recommended.
- General computer literacy and good Microsoft Outlook, Excel, and Word knowledge. Working knowledge of office machines (copier, fax, phone systems, etc.)
- Good organizational and communication skills. Ability to relate positively, effectively, and appropriately with residents, families, community members, volunteers, and other facility staff.
- Medical, Dental, Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (discounts on movies, restaurants, gifts, and more)
- 401-K
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Where Washington roles are concentrated, by current openings.
Business Office Manager Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring



What Washington Employers Look For
The qualifications that appear most often in business office manager jobs across Washington.
- Bachelor's degree in business administration, healthcare management, or a related field
- Three or more years of supervisory or office management experience in a relevant industry
- Proficiency in electronic health records or practice management software for healthcare settings
- Demonstrated experience managing budgets, accounts payable, and financial reporting
- Strong working knowledge of Washington State employment law and HR compliance requirements
- Excellent communication skills with experience coordinating across departments or multiple locations
Business Office Manager Jobs in Washington: Frequently Asked Questions
How do you become a business office manager in Washington?
Most Washington employers expect a bachelor's degree in business administration, healthcare management, or a related field, combined with progressively responsible office or administrative experience. There is no state-issued license specifically for business office managers in Washington, but those working in healthcare settings often pursue credentials such as the Certified Medical Manager designation through the Professional Association of Health Care Office Management. Starting in a coordinator or administrative supervisor role at a Washington hospital system or healthcare network is the most common path upward.
How much do business office managers make in Washington?
Business office managers in Washington earn a median of about $79,480 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $56,900 for the lowest 10% to over $120,710 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire business office managers in Washington?
Employers hiring business office managers in Washington right now include Heartland Dental, Brookdale Senior Living, and YMCA, based on current listings on Migrate Mate as of October 2026. Washington's concentration of large healthcare systems, research universities, and regional headquarters means ongoing demand for experienced office managers across multiple industries.
Which Washington cities have the most business office manager jobs?
Everett, Seattle, and Bremerton have the most business office manager openings in Washington. Seattle and Bellevue dominate because of their dense concentration of hospital systems, tech company campuses, and professional services firms, while Spokane draws steady hiring through its regional healthcare networks and Eastern Washington University, making it the anchor market for the eastern side of the state.
Are there remote business office manager jobs in Washington?
Yes, but they are less common than in fully desk-based fields, since business office managers typically oversee on-site staff, facilities, and daily operations that require a physical presence. About 0% of business office manager openings tied to Washington are remote or hybrid as of October 2026, with most of those positions focused on billing oversight, compliance coordination, or multi-site administrative roles where in-person supervision is less critical.
How can I get hired as a business office manager in Washington with little or no experience?
The most realistic entry path is to start as a medical receptionist, administrative coordinator, or billing specialist at one of Washington's large healthcare networks, such as Providence Health, MultiCare, or Swedish Medical Group, where internal promotion into office management is common. Community colleges across Washington, including Bellevue College and Spokane Falls Community College, offer business and healthcare administration certificates that strengthen early applications. Gaining familiarity with electronic health records platforms used widely in Washington clinics gives candidates a practical edge when competing for supervisor or lead roles.
Where can I find and apply to business office manager jobs in Washington?
You can find and apply to business office manager jobs in Washington on Migrate Mate, which lists current openings from employers hiring across the state right now. Find roles that fit your experience and location, then apply directly to the ones that match.
See All 26 Business Office Manager Jobs in Washington
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