Business Office Manager

About the role

Role Summary The Business Office Manager leads the center’s business office functions and serves as a core member of the facility leadership team. The role integrates patient access, scheduling, registration, revenue-cycle coordination, medical-record workflow, patient rights, privacy, customer service, and administrative controls to support safe, efficient, compliant, and financially responsible operations. The Business Office Manager partners with the CEO/Administrator and Director of Nursing to ensure front-end processes, records, staff practices, and supporting evidence are reliable every day and readily retrievable during surveys. Location: St. Francis Ambulatory Surgery Center Address: 13701 Bon Secours Drive, Suite 100, Midlothian, VA 23114 St. Francis Ambulatory Surgery Center is an ASC located in Midlothian, VA. With two operating rooms and one procedure room, the center will provide high-quality, cost-effective outpatient surgical care across multiple specialties. Owned and operated in partnership with BSMH and Compass Surgical Partners (an ASC management organization), the center will combine advanced technology with compassionate, patient-centered care in a convenient outpatient setting.

Qualifications

Minimum Qualifications & Requirements High school diploma or equivalent required; associate or bachelor’s degree in health care administration, business, finance, health information, or a related field preferred. Progressive experience in an ASC, hospital outpatient department, physician practice, or other health care business office; supervisory experience preferred. Working knowledge of scheduling, registration, insurance verification, authorizations, patient estimates/collections, denials, accounts receivable, medical records, HIPAA/privacy, patient rights, grievances, and basic revenue-cycle controls. Demonstrated ability to lead staff, standardize workflows, monitor performance, protect confidential information, and communicate clearly with patients, providers, payers, and teammates. Working knowledge of applicable CMS ASC Conditions for Coverage, AAAHC standards, state requirements, and center policies, or ability to attain role-appropriate proficiency during orientation. Ability to work in an ambulatory surgery center environment and move through business office, patient care, storage, and support areas as required by the role; ability to use standard business and clinical information systems applicable to assigned responsibilities; ability to respond to urgent operational or patient-safety needs within the scope of the role.

Responsibilities

• Patient Access, Scheduling & Service: Lead reliable scheduling, registration, insurance verification, authorization, financial counseling, patient estimate, collection, and check-in workflows within center policy.
• Coordinate with clinical leadership so scheduled cases align with approved services, patient-selection workflows, required preoperative information, equipment, implants, staffing, and payer requirements.
• Maintain a respectful, accessible patient experience and ensure staff know how to provide or arrange assistance, interpreter support, privacy, and escalation.
• Patient Rights, Privacy & Grievances: Ensure required patient-rights information, privacy notices, ownership disclosures, advance-directive information, complaint/grievance instructions, and other required notices are provided and documented according to applicable requirements and center policy.
• Receive, route, track, and support timely investigation and written resolution of complaints and grievances; trend issues with leadership and QAPI.
• Protect the confidentiality, security, integrity, availability, retention, release, and appropriate disposal of business and patient information.
• Medical Records & Survey Evidence: Maintain systems for accurate collection, completion tracking, storage, access, retention, release, and retrieval of medical records in collaboration with clinical leadership and the designated medical-records role.
• Monitor delinquent, incomplete, missing, or unauthenticated records and escalate trends or patient-safety concerns.
• Maintain business-office survey evidence, including applicable logs, notices, rosters, competency records, complaints/grievances, contracts, and administrative documents; support timely document requests and patient tracers.
• Revenue Cycle & Financial Stewardship: Monitor front-end revenue-cycle performance, including authorizations, clean-data capture, patient balances, denials, accounts receivable issues, refunds, and unresolved payer barriers within assigned scope.
• Reconcile applicable daily business transactions and maintain segregation of duties, secure handling, and accurate supporting records.
• Identify rework, waste, workflow