RCM Front End Lead Specialist

About the Company

Virta is on a mission to reverse metabolic disease in one billion people. We partner with the largest health plans, employers, and government organizations to help members restore their health through innovations in technology, personalized nutrition, and virtual care delivery.

Responsibilities

• Lead and oversee the configuration and setup of new client billing accounts to ensure operational readiness.
• Partner with Engineering, Credentialing, Eligibility, and Finance teams for seamless onboarding.
• Maintain the Price Book and evolve documentation for onboarding and contract updates.
• Oversee and manage Data and Charge Entry contractors and FTEs to ensure accuracy in billing data and claim submissions.
• Drive enhancements across platforms such as Athena, Zuora, and Salesforce.
• Lead process improvement projects focused on automation, accuracy, and scalability.
• Mentor junior team members and contractors by reviewing work and sharing institutional knowledge.

Requirements

• 3–5+ years of experience in healthcare revenue cycle management (RCM).
• Experience with direct billing and payer implementations.
• Proven success managing complex accounts and resolving escalations.
• Experience overseeing Data and Charge Entry contractors or workflows.
• Advanced understanding of commercial/government payer policies and CPT, HCPCS, and ICD-10 coding.
• Technical proficiency with Athena, Zuora, Salesforce, and JIRA.
• Ability to lead small projects or process improvement initiatives.
• Proactive use of AI tools to improve efficiency.