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

Operations

• Leading advanced denial resolution workflows, appeals processes, and AR strategy.
• Driving efforts to minimize manual rework and ensure high-quality billing resolution.
• Orchestrating workflows to optimize AR aging and meet aggressive collection targets.
• Researching and resolving nuanced billing denials and managing escalated appeals.
• Managing complex payer configurations as part of new customer setup and ongoing performance management.
• Identifying payer patterns and recommending systemic process improvements to minimize future denials.
• Working closely with internal billing and RCM teams to align on organizational goals.
• Using AR aging reports, denial data, and propensity-to-pay intel to prioritize team efforts.

RCM Billing Specialist

RCM Operations Lead