What are the responsibilities and job description for the Regional Business Office Manager position at Health Services Management?
Regional Business Office Manager (RBOM)
Health Services Management (HSM)
Tomball, TX (Corporate Office) | Regional Travel Required
Skilled Nursing / Long-Term Care
Full-Time | Day Shift
Lead Financial Operations Across Multiple Skilled Nursing Facilities
We are seeking an experienced Regional Business Office Manager (RBOM) to support and oversee business office operations across multiple skilled nursing facilities in Texas. This is a high-impact leadership role responsible for driving strong accounts receivable performance, ensuring regulatory compliance, and supporting facility-level Business Office Managers (BOMs).
This position is based out of our corporate office in Tomball, TX, with routine travel to assigned facilities.
Why Join Us
Regional Oversight & Compliance
Oversee and audit business office operations across multiple Texas facilities
Ensure compliance with Medicare, Medicaid, and private pay regulations
Maintain survey readiness and financial compliance standards
Accounts Receivable & Collections
Drive collections for private pay and Medicaid pending accounts
Monitor AR aging and implement strategies to reduce outstanding balances
Support facilities in improving cash flow and financial performance
Training & Support
Train and onboard new Business Office Managers (BOMs)
Provide ongoing coaching, guidance, and coverage support during turnover
Partner with facility leadership to strengthen financial processes
Financial Reporting
Ensure timely and accurate submission of:
Daily cash deposits
Billing records
Census reports to Revenue Cycle Management (RCM)
Process Improvement
Identify inefficiencies and implement best practices across facilities
Optimize workflows within PointClickCare (PCC) and other systems
What We’re Looking For
High school diploma or equivalent required (Bachelor’s in Accounting or Business preferred)
3 years of SNF/LTC Business Office experience required
Strong knowledge of:
Medicaid & Medicare billing
Texas long-term care reimbursement regulations
Experience with PointClickCare (PCC) or similar billing systems
Advanced proficiency in Excel and financial reporting tools
Key Strengths:
Highly detail-oriented and organized
Strong communicator with the ability to lead and influence across multiple teams
Ability to multitask and prioritize in a fast-paced environment
High level of integrity, ethics, and accountability
Benefits
Benefits and bonus eligibility for full-time employees (30 hours/week)
Schedule & Location
If this opportunity interests you, that interests us! We’re excited to connect with driven professionals who are ready to elevate business office performance across our communities.
Disclaimer
This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned to meet the organization's needs.
Equal Opportunity Employer
We are an Equal Opportunity Employer and are committed to creating an inclusive environment for all employees.
Health Services Management (HSM)
Tomball, TX (Corporate Office) | Regional Travel Required
Skilled Nursing / Long-Term Care
Full-Time | Day Shift
Lead Financial Operations Across Multiple Skilled Nursing Facilities
We are seeking an experienced Regional Business Office Manager (RBOM) to support and oversee business office operations across multiple skilled nursing facilities in Texas. This is a high-impact leadership role responsible for driving strong accounts receivable performance, ensuring regulatory compliance, and supporting facility-level Business Office Managers (BOMs).
This position is based out of our corporate office in Tomball, TX, with routine travel to assigned facilities.
Why Join Us
- Supportive, mission-driven leadership team
- Opportunity to make a measurable impact across multiple communities
- Stable organization with strong operational support
- Full benefits package tuition reimbursement
- Career growth within a multi-facility organization
Regional Oversight & Compliance
Oversee and audit business office operations across multiple Texas facilities
Ensure compliance with Medicare, Medicaid, and private pay regulations
Maintain survey readiness and financial compliance standards
Accounts Receivable & Collections
Drive collections for private pay and Medicaid pending accounts
Monitor AR aging and implement strategies to reduce outstanding balances
Support facilities in improving cash flow and financial performance
Training & Support
Train and onboard new Business Office Managers (BOMs)
Provide ongoing coaching, guidance, and coverage support during turnover
Partner with facility leadership to strengthen financial processes
Financial Reporting
Ensure timely and accurate submission of:
Daily cash deposits
Billing records
Census reports to Revenue Cycle Management (RCM)
Process Improvement
Identify inefficiencies and implement best practices across facilities
Optimize workflows within PointClickCare (PCC) and other systems
What We’re Looking For
High school diploma or equivalent required (Bachelor’s in Accounting or Business preferred)
3 years of SNF/LTC Business Office experience required
Strong knowledge of:
Medicaid & Medicare billing
Texas long-term care reimbursement regulations
Experience with PointClickCare (PCC) or similar billing systems
Advanced proficiency in Excel and financial reporting tools
Key Strengths:
Highly detail-oriented and organized
Strong communicator with the ability to lead and influence across multiple teams
Ability to multitask and prioritize in a fast-paced environment
High level of integrity, ethics, and accountability
Benefits
- 401(k) Company Match
- Medical, Dental, Vision Insurance
- Company-Paid Life Insurance
- Employee Assistance Program (EAP)
- Paid Time Off (PTO)
- Tuition Reimbursement
Benefits and bonus eligibility for full-time employees (30 hours/week)
Schedule & Location
- Full-Time | Day Shift
- Based in Tomball, TX (corporate office)
- Regional travel is required to facilities across Texas
If this opportunity interests you, that interests us! We’re excited to connect with driven professionals who are ready to elevate business office performance across our communities.
Disclaimer
This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as assigned to meet the organization's needs.
Equal Opportunity Employer
We are an Equal Opportunity Employer and are committed to creating an inclusive environment for all employees.