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 You’ll 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
- You’re a fixer and builder—you don’t just maintain operations, you improve them
- You thrive under pressure and bring confidence and clarity to complex situations
- You’re highly accountable and driven by results and measurable success
- You’re a team player who can quickly build trust with new teams
What’s 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