Traveling Business Office Manager- Skilled Nursing

Are you a proven Business Office leader who thrives in fast-paced environments—and is ready to take your expertise on the road?

Touchstone Communities is seeking a seasoned, high-performing Traveling Business Office Manager to support our skilled nursing facilities across Texas. This is a road warrior role for a confident leader who can step into any building, assess operations, stabilize performance, and drive results.

If you have a track record of success in SNF business office operations, a passion for excellence, and the flexibility to travel extensively—we want to meet you.

As a Traveling BOM, you will serve as a trusted expert and operational leader, stepping in where needed to enhance performance, ensure compliance, and drive financial success.

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• Step into communities and quickly assess, stabilize, and elevate business office operations
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• Ensure full compliance with federal, state, and company billing and financial standards
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• Provide hands-on support, training, and mentorship to on-site teams
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• Oversee billing, AR management, collections, and reimbursement processes
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• Act as the key liaison between Central Support Office (CSO), residents, and families
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• Support and guide Medicaid application processes, eligibility, and education
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• Manage resident trust funds with accuracy and integrity
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• Ensure monthly reconciliations are completed timely and that state audits result in zero deficiencies
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• Uphold HIPAA and all regulatory standards across systems and processes
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• Evaluate prior BOM performance and provide actionable feedback to leadership
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• Identify process gaps and implement scalable solutions
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• Partner with Administrators and Regional leaders to drive measurable business outcomes
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We are seeking a true expert in skilled nursing business office operations:

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• Minimum 3+ years of Business Office Manager experience in a Skilled Nursing Facility (REQUIRED)
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• Demonstrated success in AR reduction, collections, and revenue cycle performance
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• Strong knowledge of Medicare, Medicaid, and insurance billing processes
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• Experience navigating complex admissions and payer sources
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• Ability to quickly adapt and lead in new environments
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• Proficiency in systems such as PointClickCare (PCC), Papersave, SSI (preferred)
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• Exceptional communication, leadership, and problem-solving skills
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• 100% travel across Texas (weekly travel required)
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• Must reside in Texas and be comfortable working in multiple communities
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This is a true field-based role—perfect for a professional who enjoys variety, autonomy, and making a visible impact wherever they go.

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• You’re a fixer and builder—you don’t just maintain operations, you improve them
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• You thrive under pressure and bring confidence and clarity to complex situations
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• You’re highly accountable and driven by results and measurable success
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• You’re a team player who can quickly build trust with new teams
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We take care of our team so they can take care of others:

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• 100% employer-paid medical benefits (effective 1st of the month after hire)
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• Health Savings Allowance
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• Travel reimbursement+ cell phone allowance
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• Generous Paid Time Off, Bereavement, and Jury Duty pay
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• Tuition Reimbursement Program
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• 401(k) with employer match
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• Life, supplemental, and pet insurance
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• Legal benefits & will preparation
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• Access to a Team Chaplain for support
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