Skilled Nursing Regional Business Office Manager (RBOM)

Avir Trilogy; Wichita Falls (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Avir Trilogy is seeking a Regional Business Office Manager to provide leadership for the business office across multiple skilled nursing facilities in Texas. You will oversee billing, AR, and financial reporting while driving compliant revenue cycle improvements.

The role requires mentoring regional staff, collaborating with Executive Directors and corporate teams, and ensuring adherence to Medicare/Medicaid guidelines and record-keeping standards. Travel across Texas is expected.

Qualifications

• Progressive leadership in multi-facility business office, healthcare setting.
• Strong knowledge of Medicare/Medicaid billing and reimbursement.
• Experience with audits, regulatory reviews, and financial reporting.
• Excellent communication with executives, facilities, residents, families.
• Proficiency with EHRs, billing systems, and MS Office.

Responsibilities

• Oversee business office operations across multiple facilities.
• Monitor AR performance, cash collections, and billing processes.
• Review financial reports and drive revenue cycle improvements.
• Mentor and develop regional office staff.
• Ensure compliance with records management and privacy regulations.
• Coordinate with corporate finance and clinical leadership to support reimbursement.

Skills

Leadership

Strategic planning

Financial analysis

Billing management

Team mentoring

Tools

EHR systems

Microsoft Office

Financial software

Job description

Regional Business Office Manager – Skilled Nursing Facilities (Texas)

The Regional Business Office Manager provides operational leadership and oversight for the business office functions across multiple skilled nursing facilities throughout Texas. This position partners with Executive Directors, Business Office Managers, and regional leadership to ensure the financial and administrative operations of each community are accurate, compliant, efficient, and aligned with organizational goals.

Essential Responsibilities

Financial Operations

• Provide oversight and support for business office operations across multiple skilled nursing facilities.
• Monitor and improve accounts receivable performance, cash collections, aging, and reimbursement processes.

• Review financial reports, identify trends, and recommend strategies to improve revenue cycle performance.
• Ensure accurate bookkeeping practices, month-end close activities, resident trust accounting, and financial record maintenance.
• Assist facilities with budget monitoring, financial controls, and operational efficiencies.
• Ensure timely and accurate billing for Medicare, Medicaid, managed care, private pay, and other payer sources.
• Collaborate with corporate finance and reimbursement teams to resolve complex billing and payment issues.

Business Office Leadership

• Mentor, train, and develop Business Office Managers and administrative staff.

Medical Records Oversight

• Provide oversight of medical records processes to ensure documentation is accurate, complete, and maintained in accordance with federal, state, and organizational requirements.
• Monitor compliance with record retention policies, privacy regulations, and health information management standards.
• Partner with clinical leadership to support accurate documentation that facilitates reimbursement and regulatory compliance.

Qualifications

• Minimum of five years of progressive business office leadership experience in skilled nursing or long-term care.
• Multi-facility or regional healthcare management experience preferred.
• Comprehensive knowledge of Medicare, Medicaid, managed care, private pay billing, collections, and reimbursement processes.
• Strong understanding of accounting principles, bookkeeping, accounts receivable management, and financial reporting.
• Knowledge of medical records management and healthcare documentation requirements.
• Experience preparing facilities for financial audits and regulatory reviews.
• Excellent analytical, organizational, and problem-solving skills.
• Strong leadership and coaching abilities with experience mentoring business office staff.
• Exceptional verbal and written communication skills with the ability to effectively communicate with executive leadership, facility teams, residents, and families.
• Proficiency with electronic health records, healthcare billing systems, Microsoft Office, and financial management software.

Travel Requirements

• Ability to travel extensively throughout Texas to support assigned skilled nursing facilities.
• Overnight travel may be required based on business needs.
• Valid driver's license and reliable transportation required.

Physical Requirements

• Ability to travel frequently by automobile and, when necessary, by air.
• Ability to move throughout healthcare facilities during operational reviews and audits.
• Ability to sit, stand, and work at a computer for extended periods.
• Ability to lift and transport materials weighing up to 25 pounds.