Revenue Cycle Management - Setup & Billing Manager

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 :