At Virta Health, we’re looking for an RCM - Collections Lead Specialist to take ownership of our denials management and collections operations. You will lead the function to ensure financial accuracy, proactive payer engagement, and data-driven performance, directly impacting our mission.

What You'll Do

Lead, manage, and develop a team of Collections Specialists (FTEs) and contractors, ensuring alignment on daily priorities, quality standards, and departmental goals.
Oversee all denials management and A/R follow-up processes, ensuring timely resolution of outstanding claims and underpayments.
Conduct and facilitate payer meetings and escalation discussions to expedite claim resolution and maintain strong payer relationships.
Own team-level Denials & A/R Productivity Scorecards, ensuring all specialists and contractors maintain accurate, timely entries.
Track and evaluate performance against departmental KPIs (e.g., denial resolution rate, A/R aging reduction, turnaround time).
Produce weekly and monthly summaries on collections performance, payer trends, and outstanding issue escalations.
Lead medium-to-large scale improvement projects focused on denials prevention, automation, and A/R efficiency.
Partner with Product, Engineering, and Analytics to resolve recurring claim issues and strengthen system integrations.
Develop, document, and maintain standard operating procedures (SOPs) and reference guides for the collections function.
Serve as a subject matter expert (SME) in collections, denials management, and payer relations.
Provide formal and informal coaching to team members and contractors, promoting consistent execution and professional growth.

What We're Looking For

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.
Proven success driving measurable improvements in A/R reduction, denials resolution, and payer turnaround times.
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.
Exceptional analytical skills with a data-driven approach to decision making.
Strong communication, presentation, and people leadership skills.
Proficiency in Athena, Zuora, Salesforce, JIRA, or comparable RCM systems.
Strategic mindset with the ability to balance speed, quality, and long-term sustainability.