Job Description
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 Virta delivers a clinically-proven treatment to reverse type 2 diabetes and other chronic metabolic diseases.
It was founded in 2014, and is headquartered in San Francisco, California, USA, with a workforce of 1001-5000 employees. Its website is