RCM - Collections Lead Specialist
Company:Virta Health
Location:United States
Languages:English
Seniority level:Lead, 5-7+ years
Experience:5-7+ years
Skills:
LeadershipProject ManagementSQLSalesforceJiraCross-functional Team LeadershipOperations ManagementFinancial ManagementRDBMSMicrosoft ExcelRESTful APIsAnalytical SkillsCollaborationAccountingAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationComplianceQuality AssuranceData visualizationTeam managementStakeholder managementCoachingAccount ManagementTeamworkFluency in EnglishNegotiation skillsReportingTrainingTroubleshootingStrong communication skillsCross-functional collaborationData entryRelationship managementMentorshipStrategic thinkingProcess improvement
Requirements:
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. 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. Proficiency in Athena, Zuora, Salesforce, JIRA, or comparable RCM systems.
Responsibilities:
Lead, manage, and develop a team of Collections Specialists and contractors. Oversee all denials management and A/R follow-up processes. Track and evaluate performance against departmental KPIs. Lead medium-to-large scale improvement projects focused on denials prevention, automation, and A/R efficiency. Serve as a subject matter expert (SME) in collections, denials management, and payer relations. Provide formal and informal coaching to team members and contractors.
