RCM Direct Billing Lead Specialist

About the role

Virta Health is on a mission to reverse metabolic disease in one billion people. We help people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery. As an RCM Direct Billing Specialist, you will support the billing and accounts receivable operations for Virta’s direct-billed employer clients. You will collaborate across Revenue Cycle Management, Finance, Product, and Client Success to ensure invoices and payments are accurate, account balances are reconciled, and client billing questions are resolved promptly.

Responsibilities

• Lead day-to-day accounts receivable activities for Virta’s direct-billed employer clients, including cash application, account review, payment matching, and follow-up on outstanding balances.
• Monitor direct-bill AR aging, investigate discrepancies, support collections activity, and escalate complex or high-risk issues when appropriate.
• Research and respond to billing inquiries related to invoice amounts, billing periods, member counts, credits, and payment application.
• Partner with Finance, Product, and Client Success to resolve billing issues and ensure client-facing information is accurate and timely.
• Support reconciliation between Zuora, NetSuite, Athena, and related reporting by identifying mismatches and helping resolve outstanding items.
• Review non-standard billing requests, gather relevant information, document client-specific requirements, and coordinate with the appropriate internal teams.
• Maintain accurate records of billing inquiries, adjustments, collections activity, and issue resolution.
• Prepare recurring AR aging and billing reports and communicate notable trends, risks, or unresolved issues to RCM leadership.
• Follow established billing controls, including write-off approval requirements, and help maintain accurate supporting documentation.
• Recommend improvements to billing workflows and assist with updating standard operating procedures as processes evolve.

90 Day Plan

• Develop a working understanding of Virta’s direct billing model, client population, billing calendar, and core systems.
• Begin independently processing direct-bill payments, reviewing account balances, and resolving routine cash application issues.
• Build relationships with key partners across Revenue Cycle Management, Finance, Product, and Client Success.
• Learn how direct invoices are created and how to research common questions related to member counts, billing periods, adjustments, and payment status.
• Assume responsibility for monitoring assigned accounts and escalating overdue balances or complex discrepancies.
• Contribute to accurate documentation of billing workflows, client-specific requirements, and recurring issue-resolution steps.
• Identify at least one practical opportunity to improve billing accuracy, reporting, documentation, or turnaround time.

Requirements

• 3+ years of experience in accounts receivable, billing, revenue cycle management, or a related operational function.
• Experience working in a subscription, SaaS, PMPM, healthcare, employer benefits, or similarly recurring billing environment.
• Working knowledge of cash application, invoice-level payment matching, AR aging, account reconciliation, and billing discrepancy research.
• Ability to communicate billing information clearly and collaborate effectively with Finance, Product, Client Success, and other cross-functional partners.
• Demonstrates a proactive use of AI tools to improve individual output and efficiency.

Culture

Virta’s company values drive our culture, so you’ll do well if:

• You put people first and take care of yourself, your peers, and our patients equally.
• You have a strong sense of ownership and take initiative while empowering others to do the same.
• You prioritize positive impact over busy work.
• You have no ego and understand that everyone has something to bring to the table regardless of experience.
• You appreciate transparency and promote trust and empowerment through open access of information.
• You are evidence-based and prioritize data and science over seniority or dogma.
• You take risks and rapidly iterate.

Pay

For this role, the compensation range is $54,500-$70,500/year. Starting pay will be based on a number of factors and commensurate with qualifications and experience.

Benefits

Information about Virta’s benefits is available on our Careers page.

Schedule

As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco.

Location

Corporate roles: We currently do not hire in the following states: AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI.

As part of your duties at Virta, you may come in contact with sensitive patient information governed by HIPAA. Security and privacy training will be provided.