Accounts Receivable Lead

Ensign Services•Fort Worth, TX

9h•Onsite

About The Position

Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees. ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words. We are seeking an experienced Accounts Receivable leader to support multiple skilled nursing facilities across the Dallas/Fort Worth market. This is not a traditional billing role. As an AR Resource (ARR), you will operate at a higher level of impact by training, coaching, and developing Business Office Managers (BOMs) while ensuring strong revenue cycle performance across 5–6 operations. You will not be responsible for daily billing execution. Instead, you will guide, guard, and govern the systems that drive results. This role is ideal for someone who has mastered the business office and is ready to expand their impact by developing others and driving systemic improvement.

Requirements

5+ years as a Business Office Manager in SNF/LTC.
Strong Accounts Receivable and Revenue Cycle expertise.
Proven ability to train, coach, and influence others.
Experience working across multiple facilities or supporting teams.
Ability to analyze data and translate it into action.
Strong communication skills, including ability to hold others accountable.
Self-directed learner who seeks answers and drives improvement without waiting for direction.
Pre-employment background screening required.

Nice To Haves

PointClickCare (PCC)
Medicare, Medicaid (Texas), Managed Care billing
Multi-site oversight or regional support role

Responsibilities

Coach BOMs on all Accounts Receivable/revenue cycle systems including billing, collections, posting, and compliance.
Build capability, not dependency, through structured site visits and ongoing coaching.
Conduct site reviews to identify billing gaps, posting errors, and compliance risks.
Use data (AR aging, DSO, cash collections, bad debt) to drive action and improvement.
Hold BOMs accountable to policies, workflows, and performance expectations.
Address breakdowns directly and ensure corrective action is taken.
Assist with escalated payer issues and denial trends.
Engage directly with health plan representatives when needed.
Reinforce best practices across all assigned operations.
Identify systemic issues and help implement sustainable solutions.