Business Office Manager

Job Summary:

The Business Office Manager is responsible for overseeing and managing the surgery center’s revenue cycle operations with a focus on performance, compliance, and continuous improvement. This role provides strategic oversight of billing and accounts receivable functions, manages relationships with external revenue cycle vendors, and serves as a subject matter expert for revenue cycle operations. The Business Office Manager partners with leadership to ensure operational efficiency, financial performance, and regulatory compliance.

Duties/Responsibilities:

§ Manage and assess the performance of external Revenue Cycle Management (RCM) vendors, including monitoring key performance indicators, service levels, and contractual expectations.

§ Serve as the primary point of contact for all RCM vendors, ensuring alignment with organizational objectives and timely resolution of issues.

§ Oversee billing, accounts receivable, collections, and denial management processes to ensure accuracy, timeliness, and compliance.

§ Analyze revenue cycle performance, payer trends, and denial patterns; recommend and implement process or vendor-related improvements.

§ Ensure effective communication and information flow between the ASC, vendors, and executive leadership related to revenue cycle operations.

§ Act as the subject matter expert for ASC billing, accounts receivable, and revenue cycle workflows.

§ Review current workflows and identify opportunities for operational efficiency, risk reduction, and performance improvement.

§ Develop, maintain, and enforce billing policies, procedures, and best practices.

§ Ensure compliance with applicable federal, state, payer, and regulatory requirements related to billing and revenue cycle operations.

§ Prepare and present revenue cycle performance reports, including KPI tracking and trend analysis, to leadership.

§ Provide leadership and guidance to business office staff, including setting expectations, supporting training, promoting accountability, and overseeing day-to-day performance.

§ Serve as an escalation point for complex billing, payer, and accounts receivable matters.

§ Perform other related duties as assigned.

Required Skills/Abilities:

§ Strong knowledge of revenue cycle operations, including billing, accounts receivable, denials management, and payer regulations.

§ Demonstrated ability to manage vendor performance and evaluate service outcomes.

§ Strong analytical skills with the ability to interpret data and performance metrics to drive improvement.

§ Excellent communication and interpersonal skills, with the ability to collaborate across departments and with external partners.

§ Proven organizational and time management skills with the ability to manage multiple priorities.

§ Strong problem-solving skills and sound judgment.

§ Proficiency with electronic medical records, billing systems, and standard office software.

Education and Experience:

§ High school diploma or equivalent required.

§ Bachelor’s degree in healthcare administration, business, finance, or a related field preferred.

§ Five or more years of progressive experience in medical billing or revenue cycle operations, preferably in an ASC or similar healthcare setting.

§ Prior experience managing or overseeing revenue cycle vendors required.

§ Prior leadership or management experience preferred.

Physical Requirements: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

§ Prolonged periods of sitting and working at a computer.

§ Ability to communicate effectively in person, by phone, and electronically.

§ Ability to manage a high volume of communications and tasks in a fast-paced healthcare environment.

This job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.