Business Office Manager

Business Office Manager

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.

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

Key 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 variation, or cost-containment opportunities and bring decision-ready recommendations to the Core Leadership Team

People, Compliance & Continuous Readiness

• Hire, orient, train, supervise, schedule, coach, and evaluate business-office staff within delegated authority; maintain role-specific competencies and personnel documentation

• Implement approved policies consistently, participate in audits and tracers, report incidents and concerns through established channels, and complete assigned corrective actions

• Support accurate organizational information, required postings, survey entrance activities, requested rosters and records, and ongoing AAAHC/CMS readiness.

Core Leadership Team Expectations

• Participate actively in the center's recurring Core Leadership Team meeting and come prepared with role-specific metrics, risks, resource needs, decisions required, and overdue action items

• Use data and frontline observations to identify cross-functional barriers, assign clear owners and due dates, and verify that corrective actions are sustained

• Support a unified leadership response during accreditation, regulatory, payer, or other external reviews while maintaining safe daily operations

• Model Compass expectations for patient safety, accountability, respectful communication, financial stewardship, and continuous improvement.

Key Success Factors

• Reliable patient access and registration with reduced avoidable rework and day-of-service barriers

• Timely, accurate, secure, and retrievable business-office and patient documentation

• Clear escalation of payer, patient-rights, privacy, grievance, revenue-cycle, staffing, and compliance risks

• Collaborative partnership across administrative and clinical teams

• Visible preparation for weekly Core Leadership Team meetings, including throughput, revenue-cycle flags, payer issues, patient experience, and cost-containment needs

Physical & Work Environment Requirements

Customize with HR and the center based on the essential functions of the role, applicable state law, scheduled hours, on-call expectations, exposure risks, travel, and reasonable accommodation requirements.

• 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

Why Compass Surgical Partners?

Compass Surgical Partners is a leading, independent, full-service ambulatory surgery center (ASC) development and management partner. An exclusive partner for premier health systems, Compass has built a nationwide portfolio of ASC joint ventures with health systems and physicians. Compass' experienced leadership team has developed more than 250 ASCs over the past three decades, making it the partner of choice for high-performance ASCs. Differentiated by a proven track record of success and an agile, aligned operating model, Compass Surgical Partners aims to create strong partnerships that improve the lives of patients and providers. Learn more at

Compass Surgical Partners is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin,