Staff Accountant/Regional Business Office Manager-Skilled Nursing
STG International, Houston, TX, United States
Job Summary
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.
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 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 Experience
Required Education
Bachelor's degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience)
Working Conditions / Physical Requirements
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.
Work Location: William R. Courtney Texas State Veterans Home, 1424 Martin Luther King Jr Ln., Temple, Texas 76504
Benefits: Competitive benefits package which includes Medical, Dental, Vision, 401(k) with company match and 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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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.
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 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 Experience
Required Education
Bachelor's degree in Business, Accounting, Healthcare Administration, or related field (or equivalent experience)
Working Conditions / Physical Requirements
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.
Work Location: William R. Courtney Texas State Veterans Home, 1424 Martin Luther King Jr Ln., Temple, Texas 76504
Benefits: Competitive benefits package which includes Medical, Dental, Vision, 401(k) with company match and 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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