RCM Billing Specialist

🕒 Junho 17

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

StrataPT 🦈

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2010

☁️ SaaS

🤝 B2B

💰 $25.000.000 Private Equity Round - StrataPT em 2024-09

SaaS • B2B

StrataPT 🦈 é uma plataforma SaaS baseada nos EUA que combina registros médicos eletrônicos (EMR) e gerenciamento do ciclo de receita especificamente para clínicas de fisioterapia, terapia ocupacional e fonoaudiologia ambulatoriais. A plataforma automatiza faturamento e reivindicações, valida benefícios dos pacientes, previne recusas com IA incorporada (Mako AI), processa EOBs e oferece relatórios e clareza financeira para melhorar o fluxo de caixa e as taxas de reembolso. A StrataPT dá ênfase a um onboarding de alto nível e suporte baseado nos EUA para ajudar clínicas a otimizar operações e crescer.

Descrição

• Leading high-level claim follow-up and appeals • Researching and resolving nuanced billing denials • Collaborating with internal billing and RCM teams • Working within payer portals to manage denials and submit appeals • Identifying denial trends and recommending process improvements • Manage complex aged AR and escalated denials • Prepare and submit thorough appeals with supporting documentation • Independently navigate payer rules across Medicare, Medicaid, and commercial plans • Educate patients on billing issues and payment options • Track patterns in payer denials and suggest systemic improvements • Validate denial coding accuracy and appeal when necessary • Escalate exhausted appeal efforts using internal escalation pathways

🎯 Requisitos

• A college degree is preferred, but not required • 2–3+ years in healthcare AR or denial management • Deep knowledge of CPT/ICD-10, UB04, and CMS 1500 forms • Direct experience with reimbursement patterns, coding nuances, or appeals strategy in physical therapy, occupational therapy, speech therapy, or ABA • Excellent communication, organization, and multitasking abilities • Strong problem-solving skills and ability to work independently • Tech-savvy with advanced experience in payer websites and portals • Ability to manage confidential information with discretion

🏖️ Benefícios

• Medical, Dental, Vision, Life & AD&D, Short- and Long-Term Disability (coverage begins on Day 1) • Simple IRA with 3% company match (eligible after 1 year) • Paid Time Off: 14 days PTO annually • 7 company holidays + 1 floating holiday • Flexible schedule, with a shared rhythm during standard business hours (Monday–Friday, 9:00 AM to 5:00 PM ET)