OI Infusion

Billing Specialist

• 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.

Healthcare Setup & Billing Manager – RCM