Virta Health

Healthcare

SeniorManager,BackEndRevenueCycle

$117–135k Remote FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

The Brief

“Senior Manager, Back End Revenue Cycle at Virta Health. Skills: Revenue cycle management, Denial management, AR management, Collections. Establish claim receipt monitoring. Implement claim acknowledgment tracking”

What You'll Achieve.

Reduce AR over 180 days; Achieve near zero timely filing write-off; Establish target DSO reduction <45 days; Achieve 100% 277CA acknowledgment rate; Monitor cash collection rate vs PMPM

Industry & Context.

Healthcare
Problems you'll solve

Root cause analysis; Data-driven decision making

What They're Looking For.

Must Have

7+ years revenue cycle management experience, Focus on back-end RCM functions, Deep expertise in payer-specific denial codes, Deep expertise in appeal processes, Deep expertise in timely filing requirements, Experience reducing AR aging, Experience improving denial overturn rates, Experience with Athena Health or comparable system, Proven ability to build and lead team, Proactive use of AI tools

What You'll Do.

Establish claim receipt monitoring

Implement claim acknowledgment tracking

Partner to ensure clean claim submission

Maintain clearinghouse workflow knowledge

Establish AR follow-up workflows

Drive reduction of over-180-day AR

Coordinate AR balance reconciliation

Identify and escalate AR balances

Build denial work queue

Analyze denial trends

Implement upstream controls

Prioritize denial resolution

Establish appeals workflows

Monitor denial overturn rates

Refine appeal strategies

Address eligibility-driven denials

Manage collections process

Establish payer follow-up protocols

Coordinate employer group collections

Monitor cash collection rates

Recruit back-end RCM staff

Onboard back-end RCM staff

Develop back-end RCM staff

Establish competency requirements

Establish training programs

Establish performance expectations

Conduct AR review sessions

Build culture of accountability

Build culture of data-driven decision making

Build culture of continuous improvement

How You'll Work.

Team & Collaboration

Partner with Front End Manager; Coordinate with Finance; Coordinate with Manager/Director; Coordinate with Client Success

Full Job Description

Virta Health is on a mission to reverse metabolic disease in one billion people. Current treatment approaches aren’t working—over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse metabolic disease in one billion people. The Back End Manager is stepping into an environment that requires both immediate stabilization and the design of scalable, durable processes. This role requires deep expertise in payer-specific denial management, AR follow-up, and collections — and the leadership ability to build and develop a team capable of executing at the level Virta's growth requires. RESPONSIBILITIES Claim Receipt & Submission Confirmation - Establish and maintain active monitoring of ANSI X12 277CA claim acknowledgment transactions to confirm payers have received submitted claims - Implement a tracking and escalation process for claims that have not received 277CA acknowledgment within defined payer-specific windows - Partner with the Front End Revenue Cycle Manager and Engineering to ensure clean claim submission and minimize rejection rates at the clearinghouse level - Maintain working knowledge of clearinghouse workflows and claim status tracking capabilities Accounts Receivable Management - Own the Athena Health AR aging report — ensuring it accurately reflects payment status and is actively worked on a defined cadence - Establish AR follow-up workflows by payer and aging bucket, with defined SLAs and escalation paths for each tier - Drive systematic reduction of the over-180

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