Blue Sun Healthcare · 6 hours ago
Revenue Cycle Manager - Onsite
Greater St. Louis
Full-time
Onsite
Senior Level
5+ years expBlue Sun Healthcare is a Physician-led, mobile wound care health-system dedicated to achieving exceptional patient outcomes. They are seeking an experienced Revenue Cycle Manager to oversee all aspects of revenue cycle management for their wound care services, managing in-house billing operations and ensuring compliance while leading the billing staff.
Hospital & Health Care
Hiring Manager
Eric Knudtson, CPC
Responsibilities
Manage end-to-end revenue cycle operations including charge capture, coding, billing, collections, payment posting, and denial management
Oversee and support in-house billing staff; provide training, performance monitoring, and coaching
Ensure accurate and timely submission of claims to Medicare, Medicaid, and commercial payers
Monitor key performance indicators (KPIs) such as AR days, denial rates, collection rates, and clean claim rates
Analyze and resolve claim denials, underpayments, and reimbursement discrepancies
Ensure compliance with CMS guidelines, wound care billing regulations, and payer-specific policies
Collaborate closely with clinical teams to ensure accurate documentation and coding (ICD-10, CPT, HCPCS)
Stay current on wound care reimbursement changes, payer updates, and regulatory requirements
Develop and implement process improvements to increase efficiency and revenue performance
Prepare regular reports for leadership on revenue cycle performance and trends
Qualification
Required
Minimum of 5 years of medical billing and revenue cycle experience
At least 2 years in a supervisory or management role
Strong experience with Medicare billing; wound care, outpatient, or specialty billing experience highly preferred
In-depth knowledge of ICD-10, CPT, HCPCS, and CMS regulations
Proven ability to manage in-house billing operations (not outsourced)
Strong analytical, organizational, and problem-solving skills
Excellent communication and leadership abilities
Proficiency with EHR and practice management systems
Preferred
Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certification
Experience with wound care centers, physician practices, or hospital-based outpatient departments
Experience working closely with providers to improve documentation and reimbursement
Benefits
Health, dental, and vision insurance
Generous PTO and holidays off
Retirement 401K program and company match
Opportunities for growth within a growing healthcare organization
Opportunity to make a meaningful impact in patient care
Company
Blue Sun Healthcare
Blue Sun Healthcare is a mobile wound care health group, focused on patient outcomes and amazing healing.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase