Find The RightJob.
Accounts Receivable Resource
Accounts Receivable Resource
Position Type: Full Time, exempt employee.
Salary Range: $80,000 - $95,000 annually, DOE.
Location: Travel required to support our locations in the Dallas/Fort Worth, TX area.
About the Company:
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity
We are seeking an experienced Accounts Receivable Resource leader to support multiple skilled nursing facilities across the Dallas/Fort Worth market. This is not a traditional billing role. As an AR Resource (ARR), you will operate at a higher level of impact by training, coaching, and developing Business Office Managers (BOMs) while ensuring strong revenue cycle performance across 5–6 operations. You will not be responsible for daily billing execution. Instead, you will guide, guard, and govern the systems that drive results.
This role is ideal for someone who has mastered the business office and is ready to expand their impact by developing others and driving systemic improvement.
What You’ll Do
Train and Develop
- Coach BOMs on all Accounts Receivable/revenue cycle systems including billing, collections, posting, and compliance.
- Build capability, not dependency, through structured site visits and ongoing coaching.
Analyze and Identify Risk
- 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.
Drive Accountability
- Hold BOMs accountable to policies, workflows, and performance expectations.
- Address breakdowns directly and ensure corrective action is taken.
Support Complex Issues
- Assist with escalated payer issues and denial trends.
- Engage directly with health plan representatives when needed.
Standardize and Improve Systems
- Reinforce best practices across all assigned operations.
- Identify systemic issues and help implement sustainable solutions.
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
What We’re Looking For
- 5+ years as a Business Office Manager in SNF/LTC.
- Strong Accounts Receivable and Revenue Cycle expertise.
- Proven ability to train, coach, and influence others.
- Experience working across multiple facilities or supporting teams.
- Ability to analyze data and translate 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.
Preferred Experience
- PointClickCare (PCC)
- Medicare, Medicaid (Texas), Managed Care billing
- Multi-site oversight or regional support role
Additional Details
- Travel required within the Dallas/Fort Worth market
- Pre-employment background screening required
What We Offer
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID:1482
© 2026 Qureos. All rights reserved.