Staff Accountant/Regional Business Office Manager-Skilled Nursing
Category
Residential Health
Job Location
San Antonio, Texas
Tracking Code
15599
Position Type
Full-Time/Regular
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.
Job Summary
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.
- Essential FunctionsRevenue Cycle & Financial Operations
- 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.
- Compliance & Regulatory Oversight
- 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.
- Leadership & Staff Development
- 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.
- Reporting & Analytics
- 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.
- Collaboration & Communication
- 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.
- Required SkillsREQUIRED EXPERIENCE AND SKILLS:Required
- Minimum 5 years of business office or revenue cycle experience in long-term care or post-acute care.
- Strong working knowledge of Medicare, Medicaid, and managed care billing.
- Proven experience managing accounts receivable and cash collections.
- Ability to travel regularly within State Veteran Home portfolio.
- Experience with resident trust fund accounting and reconciliation.
- Familiarity with long-term care software systems (e.g., PointClickCare).
- Must be legally able to work in the United States.
- Preferred
- Prior regional or multi-facility management experience.
- Experience with Medicaid eligibility and state-specific reimbursement systems.
- Skills & Competencies
- Strong organizational and analytical skills
- Excellent attention to detail and follow-through
- Effective leadership and coaching abilities
- Clear and professional communication skills
- Ability to manage multiple facilities and priorities
- Required ExperienceREQUIRED EDUCATION:
- Bachelor’s degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience)
- Working Conditions/Physical RequirementsThe physical demands and work environment described herein is a representative of those that generally must be met by an employee to successfully perform the essential functions of this job:
- This position primarily involves sitting, standing, walking, twisting, reaching, bending/stooping, pushing and pulling (typical weight of 5 lbs. and maximum weight of 30 lbs., approximately), and lifting (minimum weight of 5 lbs. and maximum weight of 100 lbs., approximately).
- The position requires repetitive finger movements as well as hearing and talking on the phone and in person.
- Must be able to continuously deal effectively with stress cre
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