Virta Health · 1 day ago
RCM - Collections Lead Specialist
United States
Full-time
Remote
Mid, Senior Level
$76K/yr - $87K/yr
5+ years expVirta Health is a company focused on optimizing the revenue cycle in healthcare. The Collections Lead Specialist will manage a team, oversee denials management, and ensure timely reimbursement while driving process improvements and collaborating with cross-functional teams.
DiabetesHealth CareMedicalPersonal Health
Responsibilities
Lead, manage, and develop a team of Collections Specialists (FTEs) and contractors, ensuring alignment on daily priorities, quality standards, and departmental goals
Set clear expectations and create accountability systems for follow-up timeliness, documentation accuracy, and resolution outcomes
Conduct regular team meetings to review performance metrics, address payer challenges, and identify areas of opportunity
Provide feedback, coaching, and mentorship to elevate team capability and professional growth
Partner with RCM leadership to establish team-wide A/R reduction goals, ensuring consistent progress across all payer portfolios
Monitor daily operations and proactively remove blockers to maintain momentum and results
Celebrate achievements and recognize team contributions while fostering an environment of collaboration and accountability
Participate in workforce planning, recruitment, and onboarding to build a high-performing collections team
Oversee all denials management and A/R follow-up processes, ensuring timely resolution of outstanding claims and underpayments
Conduct and facilitate payer meetings and escalation discussions to expedite claim resolution and maintain strong payer relationships
Ensure adherence to standard follow-up cadence and documentation practices across the team and contractors
Review and approve corrected or resubmitted claims to ensure accuracy and compliance with payer requirements
Monitor and report on denial trends, A/R aging, and turnaround times (TAT); drive actions to improve key metrics
Ensure the team proactively updates test claim stats, payer worklists, and aging reports
Lead efforts to prevent growth in >90-day A/R, promoting accountability for consistent aging reduction
Collaborate with cross-functional teams (Eligibility, Credentialing, Product, Front End RCM) to address systemic issues impacting claim payment
Escalate payer issues with data-supported documentation, including notes, outreach history, and recommendations
Oversee and review contractor activities to ensure completeness, timeliness, and compliance with Virta’s standards
Own team-level Denials & A/R Productivity Scorecards, ensuring all specialists and contractors maintain accurate, timely entries
Track and evaluate performance against departmental KPIs (e.g., denial resolution rate, A/R aging reduction, turnaround time)
Produce weekly and monthly summaries on collections performance, payer trends, and outstanding issue escalations
Ensure all tracking tools and reports are completed consistently across the team using standardized templates
Partner with leadership to refine productivity and performance dashboards that drive transparency and continuous improvement
Collaborate with Finance and Accounting to reconcile A/R data and verify accurate cash postings
Review team documentation to confirm proper follow-up frequency, accuracy, and compliance
Encourage data-driven decision making and use insights to refine payer strategies and workload allocation
Lead medium-to-large scale improvement projects focused on denials prevention, automation, and A/R efficiency
Identify and implement process improvements that streamline workflows, improve turnaround times, and enhance reporting accuracy
Partner with Product, Engineering, and Analytics to resolve recurring claim issues and strengthen system integrations
Develop, document, and maintain standard operating procedures (SOPs) and reference guides for the collections function
Participate in enterprise-level initiatives, representing the collections function in RCM and cross-departmental workgroups
Surface valuable insights and communicate actionable recommendations to management and other stakeholders
Create content and documentation that captures best practices, enabling consistent training and process adoption across the team
Serve as a subject matter expert (SME) in collections, denials management, and payer relations
Provide formal and informal coaching to team members and contractors, promoting consistent execution and professional growth
Lead group training sessions and share knowledge across the RCM department to strengthen collective expertise
Communicate effectively, maintaining transparency, constructive feedback, and alignment within the team and across functions
Support the creation of an inclusive, performance-driven culture where individuals are motivated, recognized, and supported
Master navigation and reporting across all RCM platforms (Athena, Zuora, Salesforce, Spark, JIRA)
Gain a deep understanding of payer relationships, aging reports, and current collections workflows
Establish clear productivity and reporting expectations for your team and contractors
Build strong cross-functional partnerships with Front End RCM, Credentialing, Product, and Finance teams
Lead one cross-functional project aimed at improving denials management or A/R reduction processes
Identify and communicate early wins, risks, and opportunities to leadership
Present an action plan for optimizing team performance and reducing aging A/R within the first quarter
Qualification
Required
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
Proven success driving measurable improvements in A/R reduction, denials resolution, and payer turnaround times
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
Demonstrated ability to lead medium-to-large projects that improve billing performance and automation
Exceptional analytical skills with a data-driven approach to decision making
Strong communication, presentation, and people leadership skills
Proficiency in Athena, Zuora, Salesforce, JIRA, or comparable RCM systems
Strategic mindset with the ability to balance speed, quality, and long-term sustainability
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
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2025-11-14
2025-09-13
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