Virta Health · 2 months ago
RCM - Front End Specialist
United States
Full-time
Remote
Entry Level
$40K/yr - $45K/yr
1+ years expVirta Health is a company focused on ensuring clients have a solid financial footing at the start of their journey. The Front End Specialist role involves the accurate setup of client accounts for implementations and direct billing while maintaining operational accuracy and supporting process improvements.
DiabetesHealth CareMedicalPersonal Health
Responsibilities
Coordinate and support the setup of new clients (payers and employers), ensuring each onboarding process is completed accurately and on time
Assist in configuring client accounts for billing and confirming payments are directed to the correct banking accounts
Maintain clear and organized documentation for all onboarding activities and account changes
Help maintain the Price Book, ensuring all pricing is current and correctly reflected in the billing platform
Support the billing testing process by tracking test claims and verifying payer setup to ensure accuracy, completeness, and minimize denials or payment delays
Apply policies, procedures, and professional guidance to resolve routine issues effectively
Demonstrate a learning mindset — proactively seeking clarification, validating assumptions before starting work, and ensuring tasks are executed to the highest standard
Understand and apply eligibility and benefit information related to CPT, HCPCS, and ICD-10 codes
Collaborate with and support contractors or vendor partners assisting in data entry, billing prep, or testing tasks—helping ensure alignment on timelines, accuracy, and process consistency
Ensure Billing Guides and Pricing Tickets are complete, accurate, and fully up to date
Validate payer setup requirements, including CPT/HCPCS codes, units, modifiers, and POS settings
Maintain centralized documentation for each customer, including payer configurations, contract details, go-live checklists, and direct invoice formats
Document manual workflows for unusual billing scenarios to support future scaling and automation
Submit all Price Books at least 7–14 days prior to launch to prevent retroactive updates and inaccuracies
Support the implementation lifecycle across cross-functional teams (Product, RCM, Legal, Operations)
Own the direct invoicing process, ensuring invoices are generated and delivered accurately and on time
Maintain a tracker (billing guide) for all direct invoices, including any formatting or manual intervention needed
Keep all direct invoice accounts under 90 days; escalate to Customer Success (CS) and team lead if approaching or exceeding 90 days
Own Direct Minimum Billings and Platform Fee Billing and Collections, ensuring accuracy, completeness, and timely processing
Generate and deliver invoices for direct-billed clients accurately and on schedule
Ensure all applicable contract fees (e.g., minimum billings, platform fees) are billed and collected promptly
Respond to internal and external billing inquiries, communicating clearly and frequently to keep stakeholders informed of progress and resolution
Manage ad-hoc reporting requests and deliver reliable, data-driven outputs that support business needs
Uphold a customer-first mindset, providing world-class service while maintaining accuracy and professionalism in every interaction
Support billing reconciliation tasks with oversight from senior team members, ensuring that all invoices and adjustments are properly logged and verified
Assist in coordinating with contractors handling supplemental billing or reconciliation work to ensure quality and consistency of outputs
Serve as a knowledgeable and reliable contributor to front-end RCM processes, sharing institutional knowledge and supporting new team members as needed
Identify blockers or inefficiencies and collaborate with peers and management to improve processes
Contribute to the continuous documentation and refinement of RCM workflows, ensuring updates are accurate and accessible
Work effectively across functions to coordinate and resolve issues that impact billing
Balance independence and collaboration, delivering strong individual results while contributing to team goals and maintaining open communication with peers and managers
Qualification
Required
1–2 years of experience in a healthcare revenue cycle management role
Experience and knowledge of commercial and government payer policies, regulations, and requirements
Knowledge of CPT, HCPCS, and ICD-10 coding
A background in process improvement and familiarity with product development concepts
Strong critical thinking and problem-solving skills, with the ability to resolve issues within defined policies and frameworks
Excellent computer, technology, and online application skills
Company
Virta Health
Virta delivers a clinically-proven treatment to reverse type 2 diabetes and other chronic metabolic diseases.
1001-5000 employees
H1B Sponsorship
Virta Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (3)
2023 (2)
2022 (4)
2021 (2)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
$373MKey Investors
Tiger Global ManagementSequoia Capital Global EquitiesCaffeinated Capital
2021-04-19Series E· $133M
2020-12-02Series D· $65M
2020-01-10Series C· $93M
Leadership Team
Sami Inkinen
CEO & Co-Founder
Amit Shah
Chief Operating Officer
Recent News
Business Wire, Inc.
2025-11-17
Business Wire
2025-11-14
2025-09-13
Company data provided by crunchbase