About the founders

We've been in the trenches. Now we're transforming them.

True revenue integrity requires mastering every side of the claim. Our leadership spans health system finance, payer-side claims configuration, and defense-grade technology. We equip behavioral health teams with the training, tools, and clarity to run their own revenue cycle.

Veteran-owned partnership Denver, Colorado

A rust-red arched footbridge carries the Clear Creek Trail over whitewater, between pine-covered canyon walls Clear Creek Canyon, Colorado
Photo: Jeffrey Beall, CC BY 4.0
Our mission

To empower behavioral health organizations through professional-grade training and modern learning technology.

We teach teams to connect clinical operations with billing precision, so every claim is handled right the first time and community care flourishes.

Our vision

A future where every behavioral health organization has the internal expertise and clarity to navigate complex revenue systems, ensuring financial sustainability so the heartbeat of community care remains strong.

The founders

Two Army veterans. One partnership.

Sarah Otto, smiling, in a cream sweater and gold necklace, with a Colorado foothills meadow and red rock behind
Co-Founder

Sarah Otto

Sarah is the visionary behind ClearBridge and the architect of the ClearBridge Academy curriculum, built on the belief that behavioral health teams deserve training that explains how a claim actually moves, from the moment a service is documented to the moment a payer decides what to do with it.

Her path to revenue cycle mastery started in a clinical lab in South Korea, where she served as a US Army lab technician. After her military service, she earned her degree in accounting and spent ten years raising her four children before returning to the workforce in 2017.

Starting from square one in an entry-level front office role, Sarah learned the intake engine from the ground up - experiencing firsthand where registration errors happen and why downstream claims fail. That front-line perspective fueled a rapid ascent into practice leadership and executive revenue cycle operations, ultimately serving as Director of Revenue Cycle Management for one of Colorado's largest community mental health centers, where she rebuilt billing across the full revenue cycle using Lean methodology.

Today, she leads claims technical operations at Colorado's largest nonprofit payer, where she turns complex policies and contracts into claims-engine rules, oversees the teams that audit adjudication and report encounter data to the state, and makes sure providers are paid correctly the first time. Having seen both sides of the claim, she builds every Academy course so teams can own their revenue integrity with confidence.

  • MBA
  • CPC
  • CPB
  • CPMA
  • CPPM
  • US Army Veteran
Paul Otto, smiling, in a green quarter-zip sweater, with autumn cottonwoods behind
Co-Founder & CTO

Paul Otto

Paul provides ClearBridge's technology backbone.

He is a data, infrastructure, and software architect with more than 25 years of experience, from Ticketmaster's global platform to classified Department of Defense systems requiring Top Secret clearance. He has migrated global platforms across data centers and clouds, built the cost governance that keeps large systems viable, and answered the overnight call when they broke.

At ClearBridge he builds the cloud infrastructure, data architecture, and automation behind everything we ship, including the ClearBridge Academy platform that carries Sarah's curriculum, engineered for HIPAA compliance and data protection.

  • US Army Veteran
  • CompTIA Security+
  • Top Secret Clearance
Guiding principles

Six principles we work by.

  1. Radical Integrity

    Honest, defensible billing and auditing come first, because they protect the organization's mission.

  2. Empowered Ownership

    We equip internal teams with professional-grade training so they run their own revenue cycle with confidence.

  3. Patient-Centric Precision

    Every coding and billing action should serve the patient's journey and the care experience.

  4. Interconnected Mastery

    We treat the revenue cycle as one system, where strategy, compliance, and technology work together.

  5. Collaborative Stewardship

    We build educational frameworks and technical safeguards that protect and sustain behavioral health revenue.

  6. Continuous Quality Evolution

    We improve with data and stay ahead of regulatory change.

Train your team

Learn from the people who've worked the claims.

Start free at the Trailhead, or write to us about setting up courses for your whole organization.