Traveling Business Office Manager- Skilled Nursing

Traveling Business Office Manager (BOM) – Texas
Touchstone Communities
Are you a proven Business Office leader who thrives in fast-paced environments—and is ready to take your expertise on the road?
Touchstone Communities is seeking a seasoned, high-performing Traveling Business Office Manager to support our skilled nursing facilities across Texas. This is a road warrior role for a confident leader who can step into any building, assess operations, stabilize performance, and drive results.
If you have a track record of success in SNF business office operations , a passion for excellence, and the flexibility to travel extensively—we want to meet you.
What Youll Do
As a Traveling BOM , you will serve as a trusted expert and operational leader, stepping in where needed to enhance performance, ensure compliance, and drive financial success .
Operational Leadership
Step into communities and quickly assess, stabilize, and elevate business office operations
Ensure full compliance with federal, state, and company billing and financial standards
Provide hands-on support, training, and mentorship to on-site teams
Revenue Cycle & Financial Expertise
Oversee billing, AR management, collections, and reimbursement processes
Act as the key liaison between Central Support Office (CSO), residents, and families
Support and guide Medicaid application processes , eligibility, and education
Trust Fund & Compliance Oversight
Manage resident trust funds with accuracy and integrity
Ensure monthly reconciliations are completed timely and that state audits result in zero deficiencies
Uphold HIPAA and all regulatory standards across systems and processes
Performance & Continuous Improvement
Evaluate prior BOM performance and provide actionable feedback to leadership
Identify process gaps and implement scalable solutions
Partner with Administrators and Regional leaders to drive measurable business outcomes
What You Bring
We are seeking a true expert in skilled nursing business office operations:
Minimum 3+ years of Business Office Manager experience in a Skilled Nursing Facility (REQUIRED)
Demonstrated success in AR reduction, collections, and revenue cycle performance
Strong knowledge of Medicare, Medicaid, and insurance billing processes
Experience navigating complex admissions and payer sources
Ability to quickly adapt and lead in new environments
Proficiency in systems such as PointClickCare (PCC), Papersave, SSI (preferred)
Exceptional communication, leadership, and problem-solving skills
Travel Requirements
100% travel across Texas (weekly travel required)
Must reside in Texas and be comfortable working in multiple communities
This is a true field-based role —perfect for a professional who enjoys variety, autonomy, and making a visible impact wherever they go.
What Sets You Apart
Youre a fixer and builder —you dont just maintain operations, you improve them
You thrive under pressure and bring confidence and clarity to complex situations
Youre highly accountable and driven by results and measurable success
Youre a team player who can quickly build trust with new teams
Whats In It For You?
We take care of our team so they can take care of others:
100% employer-paid medical benefits (effective 1st of the month after hire)
Health Savings Allowance
Travel reimbursement+ cell phone allowance
Generous Paid Time Off, Bereavement, and Jury Duty pay
Tuition Reimbursement Program
401(k) with employer match
Life, supplemental, and pet insurance
Legal benefits & will preparation
Access to a Team Chaplain for support