Remote- Home Infusion Billing Manager

Billing Manager

Advanced Infusion Care (AIC) – Financial Services

About Advanced Infusion Care

Advanced Infusion Care (AIC) is a leading provider of home infusion and IG therapy, serving patients through multiple pharmacy locations. Guided by our values of Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives through exceptional products, services, and patient care.

AIC offers a comprehensive benefits package, including medical, dental and vision insurance, long-term disability, life insurance, paid time off, and a 401(k) plan with a generous employer match.

This is a remote position; occasional travel may be required.

Position Summary

Advanced Infusion Care is seeking an experienced Billing Manager to lead our billing operations across multiple offices and teams. The Billing Manager has full ownership of the billing function – from delivery ticket confirmation through claim submission, rejection management, and resolution – and directly manages Billing Supervisor and their teams of Billing Specialists.

This role is accountable for billing department performance (claim accuracy, submission timeliness, denial and rejection trends, and clean claim rate), sets department policy and workflow standards, and partners with the Financial Services Manager and Collections leadership to drive overall revenue cycle results. The ideal candidate has strong home infusion billing expertise, a track record in a leader role, and the ability to translate billing data into operational decisions.

Essential Duties and Responsibilities

• Manage and develop Billing Supervisors across one or more offices, including goal-setting, performance management, and succession planning.

• Ensure accurate billing practices for specialty home infusion therapies, including NDC-to-HCPCS crosswalk accuracy, JW/JZ waste modifier compliance, buy-and-bill billing, and Medicare Part B vs. Part D billing distinctions.

• Own overall billing department performance against defined targets, including clean claim rate, denial/rejection trends, claim submission timeliness, billing hold aging (e.g., resolution within established day thresholds), and departmental AR/DSO goals.

• Set and enforce departmental billing policies, workflows, and desk procedures, and ensure consistent application across supervisors and teams.

• Serve as the senior escalation point for billing issues that cannot be resolved by Supervisors, including complex payer disputes, systemic claim issues, and cross-departmental conflicts.

• Analyze department-wide billing data and trends; prepare and present scorecards, forecasts, and performance reports to Financial Services leadership.

• Partner with Collections, Pharmacy, IT, and Revenue Cycle Management leadership to resolve systemic issues and improve end-to-end cash flow.

• Evaluate and recommend changes to billing systems, clearinghouses (e.g., Waystar, Relay, Change Healthcare), and tools to improve efficiency and accuracy.

• Ensure departmental compliance with HIPAA, federal and state regulations, payer requirements, and company policy; lead audits and corrective action plans as needed.

• Own hiring, onboarding structure, and training curriculum for the billing department in partnership with Supervisors and HR.

• Manage departmental staffing levels, workload distribution across supervisors/offices, and coverage planning.

• Lead or support special projects, system implementations, and process improvement initiatives for the billing function.

• Oversee data integrity and reconciliation across all billing-related systems — including the pharmacy dispensing/inventory system, billing platform, clearinghouse, and payer portals — ensuring accurate flow of information from delivery ticket confirmation through claim adjudication.

• Standardize billing workflows and desk procedures across all systems in use, ensuring Supervisors and Specialists apply consistent procedures regardless of which platform they are working in.

• Cross-train Billing Supervisors and Specialists across systems and offices to maintain coverage and avoid single-point-of-failure risk during absences or staffing transitions.

• Lead or support system upgrades, migrations, and new payer portal rollouts affecting the billing function, including user acceptance testing (UAT) and staff retraining.

• Oversee compliance with DWO/SWO documentation requirements and hospice-concurrent billing rules as they affect billing holds and claim submission.

• Serve as the department's primary point of contact for payer and Medicare audit requests, ensuring timely, accurate, and well-documented responses within required deadlines.

• Maintain documentation and retention standards for appeals and disputed claims in accordance with payer and regulatory requirements.

• Perform other duties as assigned.

Required Education and Experience

• Bachelor's degree preferred; high school diploma or GED required.

• Minimum of 7 years of healthcare billing/revenue cycle experience required, including home infusion billing experience.

• Minimum of 3 years of experience leading teams.

• Strong knowledge of healthcare reimbursement, third-party payer requirements, and end-to-end Revenue Cycle Management.

• Knowledge of medical terminology, ICD-10 coding, NDC numbers, and infusion billing requirements.

• Experience with Waystar or similar claims-management/clearinghouse platforms required.

• Experience managing billing operations across multiple systems or platforms (e.g., pharmacy dispensing/inventory systems, billing platforms, clearinghouses, and payer portals) strongly preferred.

Qualifications and Skills

• Demonstrated ability to lead through supervisors/managers, in a multi-site environment.

• Strong business acumen with the ability to turn billing data and KPIs into operational decisions.

• Excellent judgment and decision-making on escalated, high-complexity billing and payer issues.

• Excellent written and verbal communication skills, including comfort presenting to senior leadership.

• Strong project management skills with the ability to lead process improvement and system initiatives.

• Ability to prioritize and manage competing departmental priorities across offices.

• Strong work ethic, integrity, accountability, and professionalism.

• Proficiency with Microsoft Office, including Outlook, Word, and Excel.

• Ability to standardize and manage workflows across multiple billing-related systems and platforms, ensuring data integrity, system access controls, and consistent application of procedures department-wide.

Compliance and Confidentiality

All employees are expected to maintain patient confidentiality and comply with HIPAA, federal and state regulations, payer requirements, and AIC policies and procedures.

Application Process

To be considered for this position, applicants must complete the required Culture Index Assessment. Applications may not be considered until the assessment has been completed.

The assessment takes less than ten minutes to complete. Please copy and paste the following link into your browser and select the position for which you are applying. Only one assessment is required per candidate:

https://go.cultureindex.com/s/0BFB8F0000

Join Our Team

At Advanced Infusion Care, we are looking for impact players who are positive, dependable, hardworking, and committed to making a difference. If you are an experienced revenue cycle leader who takes pride in driving results through people and process, we invite you to apply.

Equal Opportunity Employer

We're an equal opportunity employer committed to diversity and inclusion. We welcome applications from qualified candidates.