Revenue Integrity Analyst (Full-Time) Hybrid at Virta Health

Mt Laurel, New Jersey, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Epic Experience: Strongly preferred
Analytical Skills: Demonstrated ability to perform quantitative and financial analysis
Revenue Cycle Knowledge: Understanding of revenue cycle workflows, charge capture, workqueue, and denial review processes
Compliance Knowledge: Familiarity with government compliance policies and procedures related to revenue cycle
CPT Updates: Ability to research and analyze CPT changes related to AMA updates and regulatory changes
Time Management: Ability to meet deadlines and manage multiple priorities

Responsibilities

Root Cause Analytics: Perform quantitative and financial analysis to identify opportunities for improvement across the revenue cycle
Audits: Conduct audits to assess revenue cycle processes and identify potential issues
Charge Master & Fee Schedule Management: Ensure compliance with government regulations and third-party payor needs regarding the charge master and fee schedules
CPT Change Analysis: Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes
Data Trending: Support the presentation of data to various levels of the organization
System Support: Utilize Epic EMR to support revenue cycle workflows
Support Virtua Entities: Provide support to Virtua Hospitals, Physician Groups, and Home Health

Skills

Epic

Revenue Cycle

CPT Analysis

Charge Master

Financial Analysis

Audits

Denial Review

Compliance

Workqueue

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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