[Remote] RCM - Front End Specialist at Virta Health

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Detail-oriented
Proactive
Collaborative
Ability to deliver consistent, high-quality work
Learning mindset
Understanding of eligibility and benefit information related to CPT, HCPCS, and ICD-10 codes
Ability to validate payer setup requirements
Proficiency in documentation
Ability to manage ad-hoc reporting requests
Customer-first mindset

Responsibilities

Coordinate and support the setup of new clients (payers and employers)
Assist in configuring client accounts for billing and confirming payments
Maintain clear and organized documentation for all onboarding activities and account changes
Help maintain the Price Book
Support the billing testing process
Apply policies, procedures, and professional guidance to resolve routine issues
Collaborate with and support contractors or vendor partners
Ensure Billing Guides and Pricing Tickets are complete, accurate, and fully up to date
Validate payer setup requirements
Maintain centralized documentation for each customer
Document manual workflows for unusual billing scenarios
Submit Price Books at least 7–14 days prior to launch
Support the implementation lifecycle across cross-functional teams
Own the direct invoicing process
Maintain a tracker for all direct invoices
Own Direct Minimum Billings and Platform Fee Billing and Collections
Generate and deliver invoices for direct-billed clients
Ensure all applicable contract fees are billed and collected promptly
Respond to internal and external billing inquiries
Manage ad-hoc reporting requests
Support billing reconciliation tasks
Assist in coordinating with contractors handling supplemental billing or reconciliation work
Serve as a knowledgeable and reliable contributor to process improvement

Skills

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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