[Remote] Revenue Cycle Management

Note: The job is a remote job and is open to candidates in USA. Virta Health is a company focused on providing effective healthcare solutions, and they are seeking a Revenue Cycle Management Specialist to ensure accurate and timely setup of client accounts. The role involves coordinating onboarding processes, managing billing tasks, and collaborating with cross-functional teams to enhance operational efficiency.

Responsibilities

• Coordinate and support the setup of new clients (payers and employers), ensuring each onboarding process is completed accurately and on time
• Assist in configuring client accounts for billing and confirming payments are directed to the correct banking accounts
• Maintain clear and organized documentation for all onboarding activities and account changes
• Help maintain the Price Book, ensuring all pricing is current and correctly reflected in the billing platform
• Support the billing testing process by tracking test claims and verifying payer setup to ensure accuracy, completeness, and minimize denials or payment delays
• Apply policies, procedures, and professional guidance to resolve routine issues effectively
• Demonstrate a learning mindset — proactively seeking clarification, validating assumptions before starting work, and ensuring tasks are executed to the highest standard
• Understand and apply eligibility and benefit information related to CPT, HCPCS, and ICD-10 codes
• Collaborate with and support contractors or vendor partners assisting in data entry, billing prep, or testing tasks—helping ensure alignment on timelines, accuracy, and process consistency
• Ensure Billing Guides and Pricing Tickets are complete, accurate, and fully up to date
• Validate payer setup requirements, including CPT/HCPCS codes, units, modifiers, and POS settings
• Maintain centralized documentation for each customer, including payer configurations, contract details, go-live checklists, and direct invoice formats
• Document manual workflows for unusual billing scenarios to support future scaling and automation
• Submit all Price Books at least 7–14 days prior to launch to prevent retroactive updates and inaccuracies
• Support the implementation lifecycle across cross-functional teams (Product, RCM, Legal, Operations)
• Own the direct invoicing process, ensuring invoices are generated and delivered accurately and on time
• Maintain a tracker (billing guide) for all direct invoices, including any formatting or manual intervention needed
• Keep all direct invoice accounts under 90 days; escalate to Customer Success (CS) and team lead if approaching or exceeding 90 days
• Own Direct Minimum Billings and Platform Fee Billing and Collections, ensuring accuracy, completeness, and timely processing
• Generate and deliver invoices for direct-billed clients accurately and on schedule
• Ensure all applicable contract fees (e.g., minimum billings, platform fees) are billed and collected promptly
• Respond to internal and external billing inquiries, communicating clearly and frequently to keep stakeholders informed of progress and resolution
• Manage ad-hoc reporting requests and deliver reliable, data-driven outputs that support business needs
• Uphold a customer-first mindset, providing world-class service while maintaining accuracy and professionalism in every interaction
• Support billing reconciliation tasks with oversight from senior team members, ensuring that all invoices and adjustments are properly logged and verified
• Assist in coordinating with contractors handling supplemental billing or reconciliation work to ensure quality and consistency of outputs
• Serve as a knowledgeable and reliable contributor to front-end RCM processes, sharing institutional knowledge and supporting new team members as needed
• Identify blockers or inefficiencies and collaborate with peers and management to improve processes
• Contribute to the continuous documentation and refinement of RCM workflows, ensuring updates are accurate and accessible
• Work effectively across functions to coordinate and resolve issues that impact billing
• Balance independence and collaboration, delivering strong individual results while contributing to team goals and maintaining open communication with peers and managers

Skills

• 1–2 years of experience in a healthcare revenue cycle management role
• Experience and knowledge of commercial and government payer policies, regulations, and requirements
• Knowledge of CPT, HCPCS, and ICD-10 coding
• A background in process improvement and familiarity with product development concepts
• Strong critical thinking and problem-solving skills, with the ability to resolve issues within defined policies and frameworks
• Excellent computer, technology, and online application skills

Company Overview