Teams at Virta Health

Lead RCM operational effectiveness by building reporting infrastructure, delivering accurate monthly client invoicing, producing KPI dashboards and reports, managing cross-functional RCM projects, improving processes and governance, developing SOPs and onboarding, and supporting strategic leadership communications and execution.

Lead back-end revenue cycle operations including monitoring ANSI X12 277CA acknowledgments, AR aging and follow-up in Athena Health, denial management and appeals, payer-specific collections, and coordination with Finance for reconciliations in Zuora/NetSuite. Build and develop a denial management and collections team, implement payer-specific workflows and SLAs, analyze denial trends to drive upstream prevention, and meet aggressive KPIs for AR reduction, denial overturns, DSO, and cash collection rates.

Manage front-end revenue cycle functions including member eligibility, claims entry, and provider credentialing. Ensure verified member records in Athena, implement real-time eligibility (270/271), oversee claims coding/submission, maintain credentialing workflows, lead and develop RCM staff, reduce denials, and partner with cross-functional teams to improve processes and systems.