Revenue Cycle Management - United States - OI Infusion

    OI Infusion
    OI Infusion United States

    4 hours ago

    Description
    Position: Revenue Cycle Management - Setup & Billing Manager
    Department: Revenue Cycle Management
    Compensation: $95,000 - $125,000
    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.
    Billing Leadership & Operations
    • 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.
    Team Management
    • 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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