Traveling Business Office Manager- Skilled Nursing

Touchstone Communities • Full-time • Lytle, TX, United States, TX, United States • 4d ago

Traveling Business Office Manager (BOM) – Texas

Touchstone Communities

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.

What You’ll Do

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.

Operational Leadership

Step into communities and quickly assess, stabilize, and elevate business office operations
Ensure full compliance with federal, state, and company billing and financial standards
Provide hands-on support, training, and mentorship to on-site teams

Revenue Cycle & Financial Expertise

Oversee billing, AR management, collections, and reimbursement processes
Act as the key liaison between Central Support Office (CSO), residents, and families
Support and guide Medicaid application processes, eligibility, and education

Trust Fund & Compliance Oversight

Manage resident trust funds with accuracy and integrity
Ensure monthly reconciliations are completed timely and that state audits result in zero deficiencies
Uphold HIPAA and all regulatory standards across systems and processes

Performance & Continuous Improvement

Evaluate prior BOM performance and provide actionable feedback to leadership
Identify process gaps and implement scalable solutions
Partner with Administrators and Regional leaders to drive measurable business outcomes

What You Bring

We are seeking a true expert in skilled nursing business office operations:

Minimum 3+ years of Business Office Manager experience in a Skilled Nursing Facility (REQUIRED)
Demonstrated success in AR reduction, collections, and revenue cycle performance
Strong knowledge of Medicare, Medicaid, and insurance billing processes
Experience navigating complex admissions and payer sources
Ability to quickly adapt and lead in new environments
Proficiency in systems such as PointClickCare (PCC), Papersave, SSI (preferred)
Exceptional communication, leadership, and problem-solving skills

Travel Requirements

100% travel across Texas (weekly travel required)
Must reside in Texas and be comfortable working in multiple communities

This is a true field-based role—perfect for a professional who enjoys variety, autonomy, and making a visible impact wherever they go.

What Sets You Apart

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