RCM Collections Lead Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $64.5k - $83.5k / year

⏰ Full Time

🟠 Senior

📞 Collections

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Virta Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Virta Health is a healthcare company focused on reversing type 2 diabetes and promoting sustainable weight loss through a nutrition-first approach. The company offers personalized treatment plans that help individuals reduce or eliminate the need for diabetes medications. Virta collaborates with organizations and healthcare providers to deliver transformative outcomes in metabolic care. Their approach is evidence-backed, emphasizing the importance of lifestyle and dietary changes to achieve lasting health improvements and weight management.

📋 Description

• Lead and develop a team of Collections Specialists, setting daily priorities and enforcing follow-up cadences and documentation standards • Directly manage part of the Tier 3 AR portfolio, including payer follow-up, denial resolution, and escalation calls • Serve as the first escalation point for complex denials, payer disputes, and accounts requiring advanced review or documentation • Track team-level AR aging and denial trends, report KPI performance, and flag systemic issues with data-supported recommendations • Ensure consistent use of productivity scorecards, standardized follow-up templates, and auditable documentation practices • Complete 30-, 60-, and 90-day onboarding objectives, including learning RCM platforms, establishing productivity expectations, providing weekly performance summaries, and leading an improvement initiative

🎯 Requirements

• 4+ years in healthcare Revenue Cycle Management with specialized focus on collections and AR follow-up • Previous experience leading, mentoring, or training billing specialists or contractors in an RCM environment • Advanced Excel skills, including VLOOKUPs, Pivot Tables, and data cleaning • Expert-level understanding of CPT, HCPCS, and ICD-10 coding • Knowledge of commercial and government payer timely filing limit policies and claim adjudication • Proficiency navigating EHRs, clearinghouse platforms, payer portals, and CRM platforms such as Salesforce • Athena or Candid Health experience is a plus • Ability to remain organized while managing team workload and a personal account portfolio simultaneously • Must follow HIPAA-related security and privacy procedures and maintain patient confidentiality

🏖️ Benefits

• Offers equity • Remote work / remote-first company • Office hubs in Denver and San Francisco • Security and privacy training will be provided