RCM Collections Lead Specialist
V
Virta HealthHealthcare
RemoteFull-TimeLead
Salary$64.5K - $83.5K; $64.5K – $83.5K • Offers Equity
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Job Details
- Experience
- 4+ years in healthcare Revenue Cycle Management
- Required Skills
- SalesforceMicrosoft ExcelEHR
Requirements
- 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) for managing reconciliation reports.
- Expert-level understanding of CPT, HCPCS, and ICD-10 coding.
- Deep knowledge of commercial and government payer timely filing limit policies and claim adjudication.
- Proficiency with navigating EHRs (Athena or Candid Health experience a plus).
- Experience with clearinghouse platforms and payer portals.
- Proficiency with CRM platforms such as Salesforce.
- Proven ability to remain organized while managing both a team workload and a personal account portfolio simultaneously.
Responsibilities
- Lead and develop a team of Collections Specialists, setting daily priorities and holding the team accountable to follow-up cadences and high documentation standards.
- 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.
- Serve as the first point of contact for your team on complex denials, payer disputes, and accounts requiring advanced review or documentation.
- Track team-level AR aging and denial trends, reporting on performance against KPIs and flagging systemic issues to leadership with data-supported recommendations.
- Ensure the team consistently utilizes productivity scorecards, standardized follow-up templates, and auditable documentation practices.
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