RCM Collections Lead Specialist

Virta Health
$64,500 - $83,500Remote

About The Position

Virta Health is seeking an RCM Collections Lead Specialist to lead a team of Collections Specialists responsible for AR follow-up and denial resolution across Virta's Tier 3 account portfolio. This is a "player-coach" role where throughput, consistency, and coaching quality are the primary levers for performance. The role involves developing direct reports and working accounts directly, serving as the escalation resource for complex payer issues. This role reports to the RCM Back End Manager.

Requirements

  • 4+ years in healthcare Revenue Cycle Management with a 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 (VLOOKUPs, Pivot Tables, data cleaning) to manage complex reconciliation reports and audit large datasets for accuracy.
  • Expert-level understanding of CPT, HCPCS, and ICD-10 coding, commercial/government payer timely filing limit policies, and claim adjudication.
  • Proficiency with navigating EHRs (Athena or Candid Health experience a plus), clearinghouse platforms, payer portals and CRM platforms such as Salesforce.
  • Proven ability to remain organized while managing both a team workload and a personal account portfolio simultaneously.

Nice To Haves

  • Athena or Candid Health experience

Responsibilities

  • Lead and develop a team of Collections Specialists, setting daily priorities and holding the team accountable to follow-up cadences and high documentation standards.
  • Act as a "working lead" by directly managing a portion of the Tier 3 AR portfolio, including payer follow-up, denial resolution, and escalation calls.
  • Serve as the first point of contact for your team on complex denials, payer disputes, and accounts requiring advanced review or documentation.
  • Track team-level AR aging and denial trends, reporting on performance against KPIs and flagging systemic issues to leadership with data-supported recommendations.
  • Ensure the team consistently utilizes productivity scorecards, standardized follow-up templates, and auditable documentation practices.

Benefits

  • Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers.
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