Business Office Manager

Please Note: This position is for a brand-new Ambulatory Surgery Center (ASC) opening. Due to the specialized nature of this role, candidates must have prior healthcare experience, with ASC experience strongly preferred. Applicants without healthcare or ASC experience will not be considered.

Business Office Manager

Ambulatory Surgery Center

The Business Office Manager is responsible for the day-to-day management of the surgery center's business office functions, including patient registration, insurance verification, billing, coding oversight, collections, and accounts receivable. This role ensures accurate and timely revenue cycle performance, strong internal controls, and excellent service to patients, physicians, and payers, working closely with the ASC Administrator to support the center's overall financial health.

Revenue Cycle & Billing

•      Oversee patient registration, insurance verification, authorization/pre-certification, and financial counseling processes to minimize claim denials and delays.

•      Manage charge entry, coding accuracy (in coordination with certified coders), claims submission, and timely follow-up on outstanding balances.

•      Monitor key revenue cycle metrics — days in A/R, denial rates, net collection rate, and clean claim rate — and implement process improvements to strengthen performance.

•      Oversee patient billing statements, payment plans, and collections activity in compliance with applicable regulations and center policy.

•      Reconcile daily deposits, payment postings, and bank reconciliations; ensure accurate month-end close support for the business office.

Payer & Contract Support

•      Track payer contract terms, fee schedules, and reimbursement rates; flag underpayments or contract variances for follow-up.

•      Serve as a point of contact for payer inquiries, audits, and appeals related to billing and claims.

•      Support the Administrator with data and analysis for managed care contract negotiations and renewals.

Operations & Team Leadership

•      Supervise, train, and evaluate front office, registration, and billing/collections staff; develop workflows that support accuracy and efficiency.

•      Maintain and continuously improve business office policies and procedures, ensuring compliance with HIPAA, payer requirements, and applicable state/federal regulations.

•      Coordinate with clinical scheduling staff to ensure accurate case scheduling data flows into registration and billing systems.

•      Prepare regular reports on financial and operational performance for the ASC Administrator and Governing Board as requested.

•      Assist with internal and external audits, financial reviews, and accreditation/regulatory survey preparation as it relates to business office records.

•      Maintain patient account confidentiality and data security in accordance with HIPAA and center policy.

Education & Experience

•      Associate's or Bachelor's degree in Healthcare Administration, Business, Accounting, or related field preferred; equivalent experience considered in lieu of degree.

•      Minimum 3–5 years of experience in healthcare business office, revenue cycle, or medical billing operations, with ASC or outpatient surgical experience strongly preferred.

•      Prior supervisory or team lead experience required.

Knowledge, Skills & Abilities

•      Strong working knowledge of ASC billing/coding requirements, payer guidelines, and revenue cycle best practices.

•      Proficiency with practice management/EHR systems, clearinghouses, and Microsoft Excel.

•      Excellent organizational skills with strong attention to detail and accuracy.

•      Strong interpersonal and communication skills for interacting with patients, physicians, and payers.

•      Ability to analyze financial data and translate findings into actionable process improvements.

Primarily an on-site office environment within the surgery center. Standard business hours with occasional flexibility needed to support month-end close, audits, or staffing coverage.

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