[Hiring] RCM Collections Lead Specialist @Virta Health

Role Description

As Collections Lead Specialist, you'll lead a team of Collections Specialists responsible for AR follow-up and denial resolution across Virta's Tier 3 account portfolio. This is a "player-coach" role where throughput, consistency, and coaching quality are the primary levers for performance. You'll split your time between developing your direct reports and working accounts yourself, serving as the escalation resource for your team on payer issues that need a more experienced hand. This role reports to the RCM Back End Manager.

Responsibilities

• Team Development: Lead and develop a team of Collections Specialists, setting daily priorities and holding the team accountable to follow-up cadences and high documentation standards.
• Portfolio Ownership: Act as a "working lead" by directly managing a portion of the Tier 3 AR portfolio, including payer follow-up, denial resolution, and escalation calls.
• Escalation Support: Serve as the first point of contact for your team on complex denials, payer disputes, and accounts requiring advanced review or documentation.
• Performance Monitoring: Track team-level AR aging and denial trends, reporting on performance against KPIs and flagging systemic issues to leadership with data-supported recommendations.
• Operational Consistency: Ensure the team consistently utilizes productivity scorecards, standardized follow-up templates, and auditable documentation practices.

90 Day Plan

• 30 Days: Get oriented in Virta's RCM platforms and understand the Tier 3 portfolio structure, payer mix, and current aging. Meet your team to understand their current workflows and identify early coaching opportunities.
• 60 Days: Establish clear productivity expectations and accountability systems for follow-up cadence and documentation. Begin serving as the escalation point for complex accounts and providing a weekly performance summary to your manager.
• 90 Days: Identify high-risk patterns in the AR aging queue and develop a targeted action plan to address them. Lead one team-level improvement initiative, such as a payer-specific workflow refresh or a training session on recurring denial types.

Qualifications

• 4+ years in healthcare Revenue Cycle Management with a specialized focus on collections and AR follow-up.
• Previous experience leading, mentoring, or training billing specialists or contractors in an RCM environment.
• Advanced Excel skills (VLOOKUPs, Pivot Tables, data cleaning) to manage complex reconciliation reports and audit large datasets for accuracy.
• Expert-level understanding of CPT, HCPCS, and ICD-10 coding, commercial/government payer timely filing limit policies, and claim adjudication.
• Proficiency with navigating EHRs (Athena or Candid Health experience a plus), clearinghouse platforms, payer portals and CRM platforms such as Salesforce.
• Proven ability to remain organized while managing both a team workload and a personal account portfolio simultaneously.

Values-driven culture

• You put people first and take care of yourself, your peers, and our patients equally.
• You have a strong sense of ownership and take initiative while empowering others to do the same.
• You prioritize positive impact over busy work.
• You have no ego and understand that everyone has something to bring to the table regardless of experience.
• You appreciate transparency and promote trust and empowerment through open access of information.
• You are evidence-based and prioritize data and science over seniority or dogma.
• You take risks and rapidly iterate.

Compensation

Virta has a location-based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $64,500-$83,500/year.

Additional Information

As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential. Security and privacy training will be provided.

As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco.

Virta uses Ashby as its applicant tracking system, which incorporates AI-powered tools in certain aspects of the recruiting process; your data is not used to train AI models, and all final hiring decisions are made by Virta Health personnel.