RCM Billing Specialist

StrataPT
Remote

About The Position

We’re looking to add an RCM Billing Specialist to our mighty, high-performing team. You’ll be hands-on in leading advanced denial resolution workflows, appeals processes, and AR strategy — playing a critical role in ensuring that our clients receive timely and accurate reimbursements. This role isn’t siloed. You’ll have a direct connection to the business, tight feedback loops with stakeholders, and a high degree of ownership. Here’s what this looks like: 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

Requirements

  • 2–3+ years in healthcare AR or denial management, with 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

Nice To Haves

  • A college degree is preferred, but not required. We’re looking for sharp, capable people who can think critically and learn quickly.

Responsibilities

  • 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

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)
  • 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). We trust you to manage your time — and we expect everyone to stay connected, responsive, and aligned.
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