Regional Business Manager – Long Term Care

STGi•San Antonio, TX

24d•Hybrid

About The Position

STGi is currently seeking a Staff Accountant/Regional Business Office Manager-Skilled Nursing to provide services at The William R. Courtney Texas State Veterans Home. The position can be onsite and/or Hybrid and/or Remote. The Staff Accountant/Regional Business Office Manager-Skilled Nursing provides leadership, oversight, and operational support to business office functions across multiple long-term care facilities within the State Veterans Home program. This role ensures accurate billing, revenue cycle integrity, regulatory compliance, and consistent implementation of company policies while supporting facility-based Business Office Managers and leadership teams.

Requirements

Staff Accountant/Regional Business Office Manager-Skilled Nursing experience
Experience in long-term care facilities
Knowledge of Veterans Administration (VA), Medicare, Medicaid, managed care, private pay, and ancillary services billing
Understanding of accounts receivable, cash collections, denials, and write-offs
Familiarity with Medicaid eligibility, pending tracking, and recertification processes
Knowledge of federal, state, and payer requirements for billing and reimbursement
Experience with audit readiness and responding to audits
Understanding of company policies, procedures, and internal controls
Experience with resident trust fund accounts reconciliation
Leadership, coaching, and performance management skills
Experience in onboarding and training staff
Ability to identify process gaps and implement best practices
Proficiency in reviewing and analyzing financial and operational reports (AR aging, cash, revenue cycle metrics)
Strong communication and collaboration skills
Ability to work with Administrators, corporate leadership, MDS, clinical teams, and payers

Responsibilities

Oversee business office operations for multiple skilled nursing facilities.
Ensure accurate and timely billing for Veterans Administration (VA), Medicare, Medicaid, managed care, private pay, and ancillary services.
Monitor accounts receivable, cash collections, denials, and write-offs; implement action plans to meet financial goals.
Support Medicaid eligibility, pending tracking, and recertification processes.
Ensure compliance with federal, state, and payer requirements related to billing and reimbursement.
Support audit readiness and respond to billing, financial, and regulatory audits.
Ensure adherence to company policies, procedures, and internal controls.
Ensure resident trust fund accounts are audited and reconciled per company policy and/or contract requirements.
Provide guidance, coaching, and performance management to facility Business Office Managers.
Support onboarding and training new business office staff.
Identify process gaps and implement best practices to improve efficiency and accuracy.
Review and analyze financial and operational reports, including AR aging, cash, and key revenue cycle metrics.
Provide regular updates and recommendations to facility and corporate leadership.
Partner with clinical and operational leaders to resolve reimbursement and documentation issues.
Work closely with Administrators, corporate leadership, MDS, clinical teams, and payers.
Serve as a regional resource for business office questions and issue resolution.
Communicate effectively with residents and families regarding billing and financial matters, when needed.