RCM Operations Lead

StrataPT

2d • Remote

About The Position

We’re looking to add an RCM Operations Lead 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 over team performance metrics. 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. Driving Quality & Efficiency: Leading efforts to minimize manual rework and ensure high-quality billing resolution. Strategic AR Management: Orchestrating workflows to optimize AR aging and meet aggressive collection targets. Leading High-Level Claim Resolution: Researching and resolving nuanced billing denials and managing escalated appeals. Payer Configuration Ownership. Manage complex payer configurations as part of new customer setup and ongoing performance management, resolving escalated claim rejections at the transaction level. Denial Trend Analysis: Identifying payer patterns and recommending systemic process improvements to minimize future denials. Collaborative Leadership: Working closely with internal billing and RCM teams to align on organizational goals. Data-Driven Decision Making. Using AR aging reports, denial data, and propensity-to--pay intel, prioritize team effort where it has the highest financial impact. You’ll receive full training on all internal systems and play an important part in helping StrataPT scale its operations to serve more customers nationwide.

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

• Optimize AR Distribution: Direct team efforts to ensure at least 85% of total insurance AR remains within the 0-90 day aging bucket.
• Minimize Denial Impact: Maintain an initial denial rate of 9% or lower through proactive feedback and root-cause analysis.
• Ensure Operational Quality: Monitor and reduce the "Multi-Touch" rework rate to 10.9% or lower, favoring automated and first-pass resolutions.
• Validate Accuracy: Confirm denial coding accuracy and escalate exhausted appeal efforts through internal 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
• 6 company holidays + 1 floating holiday

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree