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