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