Business Office Manager Date Posted:

3 October 2026

Closing Date:

November 2, 2026

Recruiter:

TOUCHSTONE COMMUNITIES

Location:

Cost, Texas Salary:

USD65,000

to

USD88,000

Job Type & Industry:

Business & Management Consultancy Contract Type:

Permanent Job Reference:

3003317432-2 Apply for this job now Job Description Touchstone Communities is seeking a Business Office Manager for our skilled nursing community. In this role, you will oversee billing, resident trust accounts, payroll, and admissions-related financials, ensuring accurate, timely processing and regulatory compliance. You will lead office staff, coordinate closely with nursing and therapy teams, and serve as a key contact for residents and families on financial questions. Aligned with our servant-leadership culture, you'll support dignified, person-centered care while keeping business operations organized, transparent, and financially sound. Responsibilities Manage all business office functions, including billing, resident statements, and collections Oversee Medicare, Medicaid, and insurance claims to ensure accurate and timely reimbursement Administer resident trust accounts and maintain accurate financial records Process payroll and support HR-related onboarding paperwork for community staff Supervise and train business office staff, assigning daily tasks and monitoring performance Collaborate with nursing, therapy, and admissions teams to support smooth resident admissions and discharges Ensure compliance with federal, state, and company policies, including HIPAA and billing regulations Prepare and reconcile financial reports for community leadership Serve as primary point of contact for residents and families on billing and financial questions Support Touchstone's servant-leadership culture and person-centered care through responsive, compassionate service Required Skills Medical billing and collections Medicare and Medicaid reimbursement Accounts receivable management Payroll processing Electronic health record (EHR) systems Healthcare compliance and privacy (HIPAA) Resident trust and account management Staff supervision and scheduling Microsoft Office (Excel, Word) Financial reporting and reconciliation