RCM Front End Lead Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $59k - $76.5k / year

⏰ Full Time

🟠 Senior

💻 Frontend Engineer / Web Developer

🦅 H1B Visa Sponsor

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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 oversee configuration and setup of new client billing accounts • Partner with Engineering, Credentialing, Eligibility, and Finance for onboarding and payment setup • Maintain documentation for onboarding, configuration, and customer contract updates • Own and maintain the Price Book across billing and payer setups • Lead billing testing to validate configurations and prevent downstream issues • Apply eligibility, benefit, and coding details to billing setups • Develop documentation, recommend automation, and improve implementation workflows • Serve as subject matter expert for front-end RCM processes and system integrations • Oversee Data and Charge Entry contractors and FTE deliverables • Lead process improvement projects focused on automation, accuracy, and scalability • Drive enhancements across Athena, Zuora, and Salesforce • Mentor junior team members and contractors • Resolve differences and align stakeholders through documentation, updates, and collaborative planning • Master core RCM platforms and client/payer billing requirements during the first 90 days • Provide prioritization to the Charge Entry team and lead process improvement efforts • Collaborate cross-functionally to resolve system inefficiencies and align end-to-end processes • Build relationships with contractors and document best practices

🎯 Requirements

• 3–5+ years of experience in healthcare revenue cycle management, including direct billing and payer implementations • Proven success managing complex accounts, handling escalations, and resolving exceptions • Experience overseeing Data and Charge Entry contractors • Advanced understanding of commercial and government payer policies, reimbursement methodologies, and contract requirements • Advanced knowledge of CPT, HCPCS, and ICD-10 coding • Experience leading small projects or process improvement initiatives • Ability to analyze data, identify trends, and build reporting frameworks • Familiarity with product development or systems optimization preferred • Strong technical proficiency with Athena, Zuora, Salesforce, and JIRA or similar RCM systems • Excellent communication and collaborative, solutions-focused mindset • Proactive use of AI tools to improve output and efficiency • Legally authorized to work in the United States • Must answer whether employment visa sponsorship will be required

🏖️ Benefits

• Equity offered • Remote-first work arrangement • Security and privacy training provided • Location-based compensation structure