Healthcare Setup & Billing Manager - RCM

About the Role

OI Infusion is seeking a Revenue Cycle Management (RCM) Manager to oversee setup functions and billing operations. This leader will manage a team of billers and a setup specialist, ensuring clean claims, accurate EMR maintenance, and seamless site implementations. The ideal candidate is detail-oriented, process-driven, and passionate about reducing denials while driving revenue optimization.

• Oversee coding audits, including adjustment codes, NDCs, rates, and diagnosis codes.
• Manage quarterly rate updates and EMR system maintenance.
• Execute new site and provider setup, ensuring accurate configuration of charge codes, modifiers, and payors.
• Lead EDI, ERA, and EFT enrollments and troubleshoot issues.
• Ensure smooth integration of new sites and TINs into the practice management system.
• Administer provider portals and maintain secure access.
• Identify underutilized tools to improve efficiency.
• Create SOPs and provide training for new team members.

• Develop and enforce billing/coding practices to reduce denials and rejections.
• Supervise billing team, manage workflow, and set performance expectations.
• Monitor KPIs (billing holds, productivity, QA, rebilling).
• Resolve escalated claims issues with clearinghouse and payors.
• Lead implementation of AI-driven billing tools to improve efficiency.
• Conduct regular audits and update SOPs to ensure compliance.

• Lead a remote team of 3–5 direct reports.
• Conduct 1:1 meetings, performance reviews, and coaching.
• Oversee scheduling, timecards, and PTO approvals.
• Support team growth through hiring, training, and development.
• Foster a culture of accountability, collaboration, and continuous improvement.

Minimum Qualifications

• 3+ years of management experience in healthcare revenue cycle operations.
• Strong knowledge of billing, coding (CPT, ICD-10), and claim submission processes.
• Experience with setting up and maintaining EMR/practice management systems (AdvancedMD preferred).
•  Familiarity with EDI, ERA, EFT agreements, and clearinghouse platforms (e.g. Change Healthcare).
• Proven ability to lead remote teams and manage competing priorities.
• Excellent problem-solving, communication, and organizational skills.
• Proficient in Microsoft Office Suite - advanced knowledge of excel a must.

Preferred Qualifications

• Experience with new site implementations.
• Provider portal setup and administration.
• Background in infusion billing.

Why Join OI-Infusion?

•  Competitive compensation & benefits.
•  Responsible PTO policy.
•  401(k) with company match.
• Remote flexibility.
•  A collaborative, fast-growing, and mission-driven work environment

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