Role Summary
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 www.compass-sp.com.
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, protected veteran status, disability status, or any other characteristic protected by applicable law.
If you require reasonable accommodations during the application or hiring process, please contact us directly at info@compass-sp.com.
E-Verify
Compass Surgical Partners participates in E-Verify and will provide the federal government with information from your Form I-9 to confirm your authorization to work in the United States.
If E-Verify cannot confirm that you are authorized to work, we are required to provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) or the Social Security Administration (SSA) before taking any adverse employment action.
For more information, please review the E-Verify Participation Poster and the Right to Work Poster