Accounts Receivable Resource

About the role

Ensign Services, Inc. is a subsidiary of The Ensign Group, Inc., a national leader in the post-acute care industry. We provide support services to over 378 facilities employing over 55,000 employees. This role is ideal for someone with experience as a Business Office Manager in Skilled Nursing Facilities or Long-Term Care who is ready to expand their impact by developing others and driving systemic improvement.

Job Duties and Responsibilities

• Coach Business Office Managers on all Accounts Receivable/revenue cycle systems including billing, collections, posting, and compliance.
• Build capability, not dependency, through structured site visits and ongoing coaching.
• Conduct site reviews to identify billing gaps, posting errors, and compliance risks.
• Use data (AR aging, DSO, cash collections, bad debt) to drive action and improvement.
• Hold Business Office Managers accountable to policies, workflows, and performance expectations.
• Address breakdowns directly and ensure corrective action is taken.
• Aid in escalated payer issues and denial trends.
• Engage directly with health plan representatives when needed.
• Reinforce best practices across all assigned operations.
• Identify systemic issues and help implement sustainable solutions.
• Travel required within the Dallas/Fort Worth market.

Preferred Qualifications

• 5+ years as a Business Office Manager in SNF/LTC.
• Strong Accounts Receivable and Revenue Cycle expertise.
• Skilled nursing facility or long-term care experience is required.
• Proven ability to train, coach, and influence others.
• Experience working across multiple facilities or supporting teams.
• Experience analyzing data and translating it into action.
• Strong communication skills, including ability to hold others accountable.
• Self-directed learner who seeks answers and drives improvement without waiting for direction.
• Experience with PointClickCare (PCC), Medicare, Medicaid (Texas), managed care billing, and multi-site oversight or regional support role, is preferred.

What Success Looks Like

• BOMs become more capable, independent, and effective.
• AR metrics improve across assigned facilities (Cash, DSO, Bad Debt).
• Systems are consistent, accurate, and proactively managed.
• Issues are identified early and resolved before becoming losses.

Additional Information

Pre-employment background screening required. For more information on our benefits and compensation package, visit www.ensignbenefits.com. Ensign Services, Inc. is an equal opportunity employer.