Staff Accountant/Regional Business Office Manager-Skilled Nursing

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 FUNCTIONS:

Revenue 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 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 EDUCATION:
* Bachelor's degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience)

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
The 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 created by residents, multiple tasks, noises, interruptions, and work cooperatively as part of the health care team while maintaining a pleasant attitude

DISCLAIMER
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

Work location:

William R. Courtney Texas State Veterans Home

1424 Martin Luther King Jr Ln.

Temple, Texas 76504

STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.

STGi offers a competitive benefits package which includes Medical, Dental, Vision, 401k with company match and a generous PTO policy.

STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.

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