Staff Accountant/Regional Business Office Manager-Skilled Nursing

Category Residential Health Job Location San Antonio, Texas Tracking Code 15599 Position Type Full-Time/Regular 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 Skills 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 Experience 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 cre Apply tot his job Apply To this Job