RCM Billing Manager

RCM Billing Manager Pure Infusion - 4.5 Sandy, UT Job Details Full-time $70,000 - $85,000 a year 1 day ago Benefits Paid time off Vision insurance 401(k) matching Qualifications Performance dashboard reports X12 EDI National Correct Coding Initiative (NCCI) guidelines EDI Medicare Metrics Reporting Aged receivables report Supervising experience Charge capture (medical billing) Team management Medical denial trend identification Medicaid Accounts aging analysis Managing medical billing & coding team teams Analytics Full Job Description About Pure Infusion Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations. We have been recognized as the fastest-growing company in Utah for two years in a row as of October 2025. Born from the merger of Pure Infusion Suites and Aleracare, we are building a unified organization grounded in a strong culture of excellence, accountability, and genuine care for patients and employees alike. Headquartered in Salt Lake City, Utah, with operations spanning multiple states, we are in a pivotal stage of growth and integration and we're looking for people who want to help shape what comes next. If you've been looking for a healthcare position that truly allows you to love on, personally care for, and intentionally work with patients without the chaos of traditional healthcare systems, then Pure is likely what you have been waiting for, we hope you'll keep reading.

OUR CORE VALUES

We live by four core values that define our culture and guide our hiring: People-obsessed Relentlessly Improving Innovators Grateful In addition to a competitive rates, we offer the following benefits: 401(k) Matching Health, Vision, and Dental Insurance Over 20 days of paid time off annually Position Summary The Billing Manager owns the front-end and cash-application integrity of the revenue cycle for our multi-state ambulatory infusion center (AIC) operation — clean claim creation, accurate charge capture on high-dollar specialty drug claims (POS 11), reconciled payment posting, and the operational health of all EDI transactions through the clearinghouse. Partners with the AR & Denials Manager, Patient Access, Coding, and IT to drive cash velocity and minimize denials at the front door. This role is distinct from claims follow-up and denials management, which are owned by a separate manager. Key Responsibilities Own day-to-day clearinghouse operations (Waystar) and EDI transaction sets (837P, 835 ERA, 270/271, 276/277, 277CA/999); resolve rejections within 24 business hours; manage payer ID mapping, EDI/ERA enrollment, and re-enrollment across all payers and TINs. Maintain configuration parity between AdvancedMD and Waystar (scrubber rules, custom edits, payer-specific routing); serve as operational owner for clearinghouse transitions, payer consolidations (e.g., Z1274 PPOONE), and TIN consolidations. Supervise charge entry across all AIC sites; enforce

NDC/HCPCS

dual-reporting, JW modifier, weight-based unit calculation, POS 11 coding; maintain SOPs for high-risk drug classes (specialty biologics, IVIG, biosimilars, monoclonal antibodies); conduct routine charge audits. Supervise ERA auto-posting, manual EOB posting, patient payment posting, and reconciliation to bank deposits/lockbox; ensure daily, monthly, and year-end cash close on schedule with unposted cash 5 days: