Job Title: Business Office Manager

General Summary of Duties

The Business Office Manager (BOM) is responsible for the overall leadership, coordination, and performance of the ambulatory surgery center’s business office operations. This role ensures efficient patient access, scheduling, financial clearance, revenue cycle performance, and regulatory compliance.

The BOM serves as a key operational leader, partnering with clinical leadership, physicians, and corporate revenue cycle teams to optimize patient flow, maximize case volume, and drive financial performance. This individual is expected to exercise sound judgment, maintain accountability across multiple functions, and ensure consistent follow-through in a fast-paced, high-volume surgical environment.

Education Requirements

• High school diploma (or equivalent) required
• College degree preferred
• Minimum 2–4 years of healthcare business office experience
• Ambulatory surgery center experience preferred
• Minimum 3 years supervisory experience

KEY RESPONSIBILITIES

Operations & Patient Flow

• Oversee daily business office operations including scheduling, registration and front-end processes 
• Coordinate patient flow between front office and clinical teams to ensure efficient throughput and high-quality patient experience
• Ensure surgery schedules are optimized, accurate, and aligned with staffing and facility resources
• Manage schedule changes, add-ons, and exceptions in coordination with the Clinical Leadership Team
• Maintain strong communication across departments to support seamless operations

Revenue Cycle Oversight

• Ensure accuracy and accountability in POS collections and cash management processes
• Oversee establishment and monitoring of patient payment plans
• Collaborate closely with centralized and/or corporate revenue cycle teams to improve key performance metrics (cash collections, denial rates, AR days, etc.)
• Assist in analyzing case profitability and payer performance trends

Credentialing & Provider Support

• Maintain oversight of provider credentialing and recredentialing processes
• Coordinate onboarding of new physicians and providers
• Track and manage credentialing requests, expirations, and documentation compliance
• Serve as liaison between providers, administration, and external entities for credentialing and onboarding

Medical Records & Compliance

• Supervise medical records processes, ensuring completeness, accuracy, and compliance with regulatory standards
• Ensure proper handling, storage, and access to patient information in accordance with HIPAA and organizational policies
• Support audit readiness and compliance initiatives

Leadership & Staff Oversight

• Supervise business office staff, including scheduling, front desk, and financial roles
• Provide training, coaching, and performance management to ensure accountability and development
• Ensure staff adherence to policies, procedures, and service standards
• Maintain cross-training to ensure coverage across all business office functions

Patient Experience & Issue Resolution

• Serve as escalation point for patient concerns related to billing, insurance, and financial responsibilities
• Handle complex inquiries from patients, physicians, attorneys, and referring offices professionally and effectively
• Promote a high level of customer service and maintain strong relationships with referring providers

Administrative & Strategic Support

• Partner with Administrator and leadership team on operational and financial initiatives
• Assist with reporting, data analysis, and process improvement efforts
• Lead or participate in special projects as assigned

Benefits: 

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance 
• PTO
• 401(k) retirement plan with a company match
• And more! 

Equal Employment Opportunity & Work Force Diversity 

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.