Business Office Manager

Business Office Manager – Ambulatory Surgery Center (ASC)The Business Office Manager, Revenue Cycle for Waterbury Surgery Center is responsible for overseeing and optimizing all aspects of the medical revenue cycle, ensuring efficient billing, collections, coding compliance, and reimbursement processes. This role manages business office staff, maintains regulatory compliance, and drives financial performance through effective revenue cycle operations.ASC Revenue Cycle OversightOversee and manage the full ASC revenue cycle, including scheduling interface, insurance verification, prior authorizations, charge capture, coding, billing, and collectionsEnsure accurate billing of facility fees, implants, supplies, and anesthesia-related components (as applicable)Coordinate closely with coders, clinical staff, and surgeons to ensure Monitor A/R performance, focusing on surgical case reimbursement timelinesAnalyze aging reports and prioritize high-dollar surgical claimsImplement strategies to improve cash flow and reduce outstanding balancesCompliance & Regulatory ManagementEnsure compliance with CMS ASC conditions for coverage and billing rulesMaintain adherence to HIPAA and payer-specific requirementsConduct periodic internal audits of coding, billing, and documentationStay current on ASC regulatory changes, reimbursement updates, and payer policiesTeam Leadership & CollaborationSupervise business office staff, including surgical billing specialists, coders, and A/R representativesProvide training specific to ASC procedures, billing nuances, and payer updatesCollaborate with clinical leadership, surgeons, and anesthesia groups to align documentation and revenue practicesFoster a high-performance, accountability-driven team environmentReporting & Financial AnalysisProduce and analyze ASC-specific KPIs such as: Net revenue per caseCase mix indexDenial rates for surgical claimsDays in A/RImplant/supply cost vs reimbursementIdentify trends and recommend operational and financial improvementsPrepare reports for administrators, physicians, and ownership groupsProcess ImprovementDevelop and maintain ASC-specific billing policies and workflowsIdentify opportunities to improve efficiency in scheduling, documentation, and billing processesOptimize use of ASC management systems and EHR platformsRequirementsEducationBachelor's degree in Healthcare Administration, Business, Finance, or related field (preferred)Equivalent experience in ASC or surgical revenue cycle management may be consideredExperience5+ years of experience in medical revenue cycle, with direct ASC or surgical billing experience strongly preferred2+ years in a supervisory or management roleHands-on experience with ASC systems, EHRs, and surgical billing platformsCertifications (Preferred)Certified Ambulatory Surgery Center Administrator (CASA)Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)Certified Revenue Cycle Representative (CRCR)Skills & Competencies: Deep knowledge of ASC billing, coding, and reimbursement structures, Understanding of Medicare ASC fee schedules and commercial payer contracts, Strong analytical and financial management skills, Leadership and staff development capabilities, Excellent communication skills, especially working with surgeons and clinical teams, High attention to detail and ability to manage complex surgical billing scenariosLocation: This is an in-office position based in Prospect, CTCompensation & BenefitsSalary: Exempt, $70,000 to $90,000 based on experienceBenefits: Health, 401(k) with company match, paid vacation time