[Remote] RCM - Collections Lead Specialist at Virta Health

Remote

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$75,700 – $87,000Compensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Experienced revenue cycle professional with strong analytical expertise
Operational leadership, team coaching, and cross-functional collaboration skills
Proactive, analytical, and collaborative mindset
Ability to thrive on solving complex billing challenges and driving measurable results
Balance tactical execution with strategic oversight

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

Skills

Key technologies and capabilities for this role

Revenue Cycle ManagementCollectionsDenials ManagementPayer RelationsA/R ManagementTeam LeadershipData AnalysisKPIsMentorshipBillingReportingProcess Improvement

Questions & Answers

Common questions about this position

What is the salary range for the RCM - Collections Lead Specialist position?

The salary range is $75.7K - $87K.

Is this position remote?

Yes, this is a remote position.

What key skills are required for this role?

The role requires strong analytical expertise, operational leadership, team coaching, cross-functional collaboration, and experience in revenue cycle management including denials management and payer relationships.

What is the team structure like for this position?

You will lead and manage a team of Collections Specialists (FTEs) and contractors, providing mentorship, conducting meetings, and participating in recruitment and onboarding.

What makes a strong candidate for this Collections Lead Specialist role?

A proactive, analytical, and collaborative revenue cycle professional with experience in leading teams, managing denials and A/R, and driving measurable results through data-driven strategies excels in this role.

Virta Health

Reverses type 2 diabetes through personalized care

About Virta Health

Virta Health focuses on reversing type 2 diabetes through a combination of personalized nutrition, continuous remote care, and behavioral science. Their treatment is designed for individuals diagnosed with type 2 diabetes, healthcare providers, and enterprise partners like employers and health plans. Unlike many competitors, Virta Health operates on a performance-based model, meaning they only receive payment if they achieve successful outcomes for their patients. This aligns their financial incentives with patient health improvements. The company's goal is to reverse type 2 diabetes in 100 million people, making their approach not just about managing diabetes but actively working towards its reversal.

Denver, ColoradoHeadquarters

2014Year Founded

$362.8MTotal Funding

SERIES_ECompany Stage

Biotechnology, HealthcareIndustries

501-1,000Employees

Benefits

Remote-first work environment

Flexible work hours & time off policy

Health insurance

Paid parental leave

Free Virta treatment & family discount

Internet, home office, learning & development stipends

Employee resource groups

401K & ROTH contribution

Risks

Increased competition in diabetes reversal could threaten Virta's market share.

Rising popularity of GLP-1 medications may divert clients from Virta's approach.

Regulatory changes in GLP-1 prescriptions could impact Virta's business model.

Differentiation

Virta Health offers a medication-free approach to reversing type 2 diabetes.

Their performance-based model aligns financial incentives with patient outcomes.

Virta's continuous remote care platform provides personalized nutrition and behavioral support.

Upsides

Virta Health has achieved over $100M in annualized revenue with sustainable weight loss solutions.

Partnerships with major payers like U-Haul enhance Virta's market reach and credibility.

Growing skepticism about GLP-1 medications boosts demand for Virta's alternative treatments.

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