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 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.

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