StrataPT is the only EMR & RCM platform designed to achieve a 99.99% reimbursement rate. They support physical therapy, occupational therapy, speech therapy, and ABA practices nationwide to run more efficiently and increase revenue.
The RCM Billing Specialist will lead advanced denial resolution, appeals processes, and AR strategy to ensure clients receive timely and accurate reimbursements. The role involves direct engagement with business stakeholders and ownership of billing workflows.
Key responsibilities include:
- Leading high-level claim follow-up and appeals
- Researching and resolving complex billing denials
- Collaborating with internal billing and RCM teams
- Managing denials and submitting appeals via payer portals
- Identifying denial trends and recommending improvements
- Managing complex aged AR and escalated denials
- Preparing thorough appeals with supporting documentation
- Navigating payer rules across Medicare, Medicaid, and commercial plans
- Educating patients on billing and payment options
- Tracking denial patterns and suggesting systemic changes
- Validating denial coding accuracy and escalating appeals as needed
Training on internal systems will be provided to support scaling operations nationwide.
Qualifications:
- 2-3+ years experience in healthcare AR or denial management
- Deep knowledge of CPT/ICD-10, UB04, CMS 1500 forms
- Experience with reimbursement patterns, coding nuances, and appeals in physical therapy, occupational therapy, speech therapy, or ABA
- Excellent communication, organization, multitasking, and problem-solving skills
- Tech-savvy with payer websites and portals experience
- Ability to manage confidential information discretely
This role values humility, empathy, adaptability, resourcefulness, and transparency.
Compensation & Benefits:
- Salary range $42,500 - $57,500 annually
- Full-time employment
- Benefits include medical, dental, vision, life & AD&D, short- and long-term disability (coverage from Day 1)
- Simple IRA with 3% company match (after 1 year eligibility)
- Paid Time Off: 14 days annually plus 7 company holidays and 1 floating holiday
- Flexible schedule with standard business hours Monday-Friday 9:00 AM to 5:00 PM ET
Work Location: Fully remote
- 2-3+ years healthcare accounts receivable or denial management experience
- Proficient with CPT, ICD-10 coding, UB04, CMS 1500 forms
- Experience with appeals and reimbursement strategies in physical therapy, occupational therapy, speech therapy, or ABA
- Strong communication, organizational, and multitasking skills
- Skilled problem solver able to work independently
- Advanced user of payer websites and portals
- Maintains confidentiality and discretion
- Medical, Dental, Vision, Life & AD&D insurance
- Short- and Long-Term Disability coverage from Day 1
- Simple IRA with 3% company match (after 1 year)
- 14 days paid time off annually
- 7 company holidays plus 1 floating holiday
- Flexible work schedule
- Fully remote position
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Salary Range
$42,500 - $57,500
Remote work allowed
Yes
Posted
2 weeks ago