Revenue Cycle Manager - Onsite

Overview

Blue Sun Healthcare is a Physician-led, mobile wound care health-system, dedicated to achieving exceptional patient outcomes and amazing healing. Our mission is to provide the right care, at the right time, in the right way. We are committed to improving the health and well-being of our patients through our specialized wound care services across the country.

Our organization operates with a fully in-house billing model and works closely with providers, clinical staff, and leadership to ensure accurate, compliant, and efficient revenue cycle operations.

• 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

• 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

• 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

• Onsite position (no remote or hybrid option)
• Collaborative, fast-paced healthcare environment
• Direct interaction with leadership, providers, and clinical staff

• Competitive salary based on experience
• 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