Full-Time
Head of Revenue Cycle Management
Healthcare service reversing type 2 diabetes and obesity
Compensation Overview
$155,570 - $178,817
Senior
Remote
- At least 7+ years of experience in healthcare provider revenue cycle
- Previous leadership experience and management of a team
- Advanced Excel skills
- Persistence when working/communicating with payers
- Experience working cross-functionally with different teams
- Experience project managing internal projects
- Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management
- Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) and documentation requirements for billing and compliance
- Knowledge of payor policies, payor plans and processes related to coding and claims billing
- Expertise with fee for service billing/coding & telehealth coding/billing
- Comfortable working with the ambiguity of a fast-paced startup
- Efficient written and verbal communication skills
- Attention to detail, exceptional organizational and problem-solving skills
- Degree in accounting, finance or business preferred, but not required
- Partner with the Engineering, Product, and Operations teams to continue to introduce automation to our claims billing processes and to build & scale fee for service opportunities
- Continuously work to identify areas of improvement and develop processes and documentation in the Company's revenue cycle
- Develop revenue cycle-specific policies in regards to: payer follow-up, appeals, write-offs, rejected claims, etc
- Build out reporting for revenue cycle KPIs, including claim denial rates, claim write-offs, charge lag, time to cash, etc
- Manage new client and partner enrollments in order to submit claims, monitor initial claim processing, automate submission and report to leadership on the reimbursement of specific accounts
- Own the entire life-cycle of billing for a new client, including taking part in external calls with clients, payer integration, health plans, partners and representing Virta as the revenue cycle subject matter expert
- Own end to end claims revenue cycle transformation projects including documentation and coding (optimizing codes we are currently billing, expertise in FFS billing and telehealth codes)
- Claims submission and management
- Denials and A/R management
- Collections and payment posting
- Reporting and metrics
- Project manage the entire Revenue Cycle function, setting up new payment structures as we expand our program offerings
- Evaluate systems and tools to improve revenue cycle management efficiency
- Communicate cross-functionally with the Sales and Customer Success teams on upcoming customer deals/launches & ensuring that customer requirements are being fulfilled and escalating any issues that arise with specific accounts
- Act as the intermediary between the Commercial team and the Product and Engineering teams for any billing and reimbursement-specific requirements and troubleshooting issues
- Train and educate team members on RCM best practices and industry benchmarks to improve revenue cycle metrics and build team accountability around following up on unpaid claims with carriers on a regular cadence
- Identify and implement resolutions for existing issues impacting claims billing; defining Virta's claim submission policies and procedures to avoid future issues
- Identify areas for process/systems optimization to drive cash KPIs
- Build reporting and tracking for the end to end claims process from submission to payment receipt
Virta Health is a leading healthcare company that has successfully pioneered the reversal of type 2 diabetes, a feat previously considered impossible. The company's culture emphasizes personalized care and support, as demonstrated by the transformative experiences of patients who have significantly reduced their dependency on medication. With a strong focus on technical innovation, Virta Health is not only setting new standards in medical care but also offering a wide range of career opportunities in a rapidly evolving industry.
Company Stage
Series E
Total Funding
$401.8M
Headquarters
Denver, Colorado
Founded
2014
6 month growth
↑ 10%1 year growth
↑ 20%2 year growth
↑ 31%Benefits
Remote-first work environment
Flexible work hours & time off policy
Health insurance
Paid parental leave
Free Virta treatment & family discount
Internet, home office, learning & development stipends
Employee resource groups
401K & ROTH contribution