Regional Business Office Manager; BOM Skilled Nursing

We are seeking an experienced Regional Business Office Manager (BOM) to oversee and support business office operations across multiple skilled nursing facilities in the Phoenix/Tucson area.

This position is ideal for a skilled nursing financial professional with a strong background in accounts receivable, collections, billing, Medicaid pending, and revenue cycle management. The Regional BOM will work directly with facility Business Office Managers and leadership teams to improve financial performance, streamline processes, and ensure accountability across assigned locations.

Oversee and support business office operations across multiple skilled nursing facilities.

Provide hands-on leadership, training, and guidance to facility Business Office Managers.

Monitor accounts receivable, aging reports, collections, Medicaid pending, private pay balances, and billing performance.

Identify collection challenges and implement strategies to reduce outstanding balances and improve cash flow.

Conduct regular on-site visits to review business office performance and ensure compliance with established procedures.

Assist facility teams with complex billing issues, payer disputes, denials, and resident financial concerns.

Review financial reports, identify trends, and develop action plans to improve revenue cycle performance.

Ensure accurate and timely billing, collections, and follow-up processes.

Collaborate with Administrators, Admissions, corporate Finance, and Revenue Cycle teams.

Establish consistent business office practices and accountability across assigned facilities.

Minimum 5 years of business office management experience within skilled nursing facilities (SNF).

Prior regional or multi-facility oversight experience strongly preferred.

Strong understanding of SNF billing, accounts receivable, collections, and revenue cycle operations.

Experience with Medicare, Medicaid, managed care, private pay, and Medicaid-pending accounts.

Proven ability to improve collections, reduce aging balances, and support financial performance.

Experience training, mentoring, and supporting facility Business Office Managers.

Strong analytical, organizational, communication, and problem-solving skills.

Ability to work independently while managing financial priorities across multiple locations.

Must currently reside in Arizona.

No out-of-state candidates will be considered.

Must be available to work on-site 4–5 days per week at Tucson-area skilled nursing facilities.

Regular local travel between assigned facilities is required.

$110,000–$130,000 annually
, depending on experience and qualifications.