Business Office Manager

Gulfstream Staffing has partnered with a New Hampshire based Long-Term Care organization that is experiencing a rapid growth phase. We are currently seeking candidates for a full time Business Office Manager opportunity near Dover, NH. This role requires someone with long-term care experience who has worked in a skilled nursing facility and has Medicare and Medicaid billing expertise. Unlike larger organizations that outsource billing, we handle everything in-house, start to finish, including submitting and correcting claims directly with Medicare. Because of this, we need someone with hands-on experience in full-cycle billing and financial management in an LTC setting. Qualifications: Minimum of 1+ years of experience in Skilled Nursing or LTC Knowledge of Medicare / Medicaid billing and coding, insurance verification, and collections practices. Excellent communication skills and ability to work collaboratively with other departments and stakeholders. Detail-oriented and able to analyze and interpret data to identify areas of improvement. Salary & Benefits: $60k Medical, Dental, Vision Benefits 401(k) PTO Hiring immediately!! Please send your resume to for consideration.

Created: 2026-03-10