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

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