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 Oversight

• Oversee and manage the full ASC revenue cycle, including scheduling interface, insurance verification, prior authorizations, charge capture, coding, billing, and collections
• Ensure 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 timelines
• Analyze aging reports and prioritize high-dollar surgical claims
• Implement strategies to improve cash flow and reduce outstanding balances

Compliance & Regulatory Management

• Ensure compliance with CMS ASC conditions for coverage and billing rules
• Maintain adherence to HIPAA and payer-specific requirements
• Conduct periodic internal audits of coding, billing, and documentation
• Stay current on ASC regulatory changes, reimbursement updates, and payer policies

Team Leadership & Collaboration

• Supervise business office staff, including surgical billing specialists, coders, and A/R representatives
• Provide training specific to ASC procedures, billing nuances, and payer updates
• Collaborate with clinical leadership, surgeons, and anesthesia groups to align documentation and revenue practices
• Foster a high-performance, accountability-driven team environment

Reporting & Financial Analysis

• Produce and analyze ASC-specific KPIs such as:
  • Net revenue per case
  • Case mix index
  • Denial rates for surgical claims
  • Days in A/R
  • Implant/supply cost vs reimbursement
• Identify trends and recommend operational and financial improvements
• Prepare reports for administrators, physicians, and ownership groups

Process Improvement

• Develop and maintain ASC-specific billing policies and workflows
• Identify opportunities to improve efficiency in scheduling, documentation, and billing processes
• Optimize use of ASC management systems and EHR platforms

Requirements

Education

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field (preferred)
• Equivalent experience in ASC or surgical revenue cycle management may be considered

Experience

• 5+ years of experience in medical revenue cycle, with direct ASC or surgical billing experience strongly preferred
• 2+ years in a supervisory or management role
• Hands-on experience with ASC systems, EHRs, and surgical billing platforms

Certifications (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 scenarios

Location: This is an in-office position based in Prospect, CT

Compensation & Benefits

Salary: Exempt, $70,000 to $90,000 based on experience

Benefits: Health, 401(k) with company match, paid vacation time