RCM - Collections Lead Specialist
Virta Health(3 months ago)
About this role
The Collections Lead Specialist at Virta is responsible for leading and optimizing the revenue cycle by managing complex payer relationships and overseeing denials management and collections operations. This role includes mentoring a team of Collections Specialists, developing data-driven strategies to enhance cash collections, and ensuring timely resolution of outstanding claims while maintaining process consistency. Additionally, the specialist will collaborate with cross-functional teams to address systemic issues, implement process improvements, and track departmental KPIs to drive measurable results in aged A/R reduction and payment performance.
Required Skills
- Revenue Cycle Leadership
- Denials Management
- A/R Follow-Up
- Team Development
- Performance Metrics
- Payer Engagement
- Process Improvement
- Cross-Functional Collaboration
- Productivity Reporting
- Analytical Skills
+10 more
Qualifications
- 5–7+ years of experience in healthcare revenue cycle management, denials management, or collections
- 2+ years of experience leading teams (including both FTEs and contractors) in an RCM or billing environment
- Strong expertise in CPT, HCPCS, and ICD-10 coding and claims adjudication
- Deep understanding of commercial and government payer rules, appeals processes, and compliance requirements
- Proficiency in Athena, Zuora, Salesforce, JIRA, or comparable RCM systems
About Virta Health
virtahealth.comVirta Health is a digital health company focused on reversing type 2 diabetes and providing sustainable weight loss solutions through a nutrition-first approach. By combining personalized nutrition plans with continuous support from health coaches, Virta empowers individuals to achieve significant health improvements while reducing or eliminating the need for diabetes medications. The company partners with organizations to transform metabolic care, demonstrating a proven track record in helping members lose weight and improve their overall health.
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