Regional Business Office Director- Skilled Nursing

Regional Business Office Director – East and Central Texas Regions (Houston, Killeen, Tyler)Touchstone Communities is seeking a dynamic, results-driven leader to join our team as a Regional Business Office Director , overseeing both our East Region . This highly visible role is responsible for leading and optimizing business office and revenue cycle operations across multiple communities. In this role, you will lead and oversee Accounts Receivable (AR) and revenue cycle performance for our East Region , which includes 10 communities across Houston, Tyler, and Killeen. This is an exciting opportunity for a seasoned professional who thrives in a fast-paced, multi-site environment and is passionate about developing teams, improving financial outcomes, and driving operational excellence.Travel is required (up to 4 days per week), and candidates must be comfortable supporting multiple locations across both regions.Lead, mentor, and develop a team of Business Office Managers (BOMs) across multiple marketsDrive talent strategy including hiring, onboarding, coaching, and performance managementFoster a culture of accountability, continuous improvement, and operational excellenceRevenue Cycle & Financial PerformanceOversee AR management, billing, collections, and revenue cycle operationsIdentify and implement strategies to optimize cash flow and reduce DSOEnsure accuracy, timeliness, and compliance in all billing and reimbursement processesStandardize and strengthen business office workflows, systems, and best practicesPartner closely with Operations and the Community Support Office to improve financial and operational outcomesLead regional audits, support regulatory compliance, and ensure readiness across communitiesProject & Transition LeadershipSupport new community openings, acquisitions, and operational transitionsProvide hands-on expertise during critical business office initiatives and process improvementsCompliance & OversightEnsure compliance with all federal, state, and company policiesOversee resident trust fund processes, internal controls, and audit preparednessProven leader with experience overseeing multi-site business office or revenue cycle operationsMinimum of 3+ years in a Business Office role within a Skilled Nursing Facility (SNF) environment is required and at least one year of regional or multi-site experience preferred.Deep expertise in SNF billing, collections, AR management, and regulatory complianceStrong financial acumen with a track record of improving revenue cycle performanceExceptional communication, coaching, and leadership skillsProficient in Microsoft Office and business office systemsWillingness to travel weekly (extensive travel required across cities)At Touchstone Communities, we are committed to supporting our team members just as much as the residents and patients we serve.~100% company-paid medical benefits (team member only)~ Comprehensive medical, dental, and vision coverage~ Monthly car allowance + travel reimbursement~ Regional bonus plan eligibility~ Cell phone reimbursement~ Flexible PTO – start accruing on Day 1~ Employer-paid life insurance~Tuition Grant Program + Employee Assistance Program~ Touchstone Emergency Fund~