StrataPT 🦈

Billing Specialist

• 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

RCM Billing Specialist