RCM Billing Specialist

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StrataPT 🦈

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2010

☁️ SaaS

🤝 B2B

💰 $25M Private Equity Round - StrataPT on 2024-09

SaaS • B2B

StrataPT 🦈 is a US-based SaaS platform that combines electronic medical records (EMR) and revenue cycle management specifically for outpatient physical, occupational, and speech therapy clinics. It automates billing and claims, validates patient benefits, prevents denials with embedded AI (Mako AI), processes EOBs, and provides reporting and financial clarity to improve cash flow and reimbursement rates. StrataPT emphasizes white-glove onboarding and US-based support to help clinics streamline operations and grow.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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)