Revenue Cycle Management Setup & Billing Manager
Revenue Cycle Management Setup & Billing Manager
Posted on :
21-09-2025
Employer Active
1 Vacancy
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Job Description
Position: Revenue Cycle Management - Setup & Billing Manager
Department: Revenue Cycle Management
Compensation: $95000 - $125000
Location - Remote
Department: Revenue Cycle Management
Compensation: $95000 - $125000
Location - Remote
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.
Responsibilities- Setup & System Management
- 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 35 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.
- Knowledge of CPT HCPCS and ICD-10 coding
- Expertise in health insurance claim denials
- Understanding payor requirements
- Previous medical billing and claims collection experience
- Ability to evaluate options and to make efficient decisions
- Strong written and verbal communication
- Ability to read an EOB and understand denial reason codes
- Infusion background a plus
- Exhibit overall behavior and actions that demonstrate willingness to learn be coached and take accountability for self-improvement and growth; be a collaborative team player.
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.
Preferred Qualifications
- Experience with new site implementations.
- Provider portal setup and administration.
- Background in infusion or specialty practice 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
Required Experience:
Manager
Employment Type
Full-Time
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