RCM Collections Lead Specialist

As Collections Lead Specialist, you'll lead a team of Collections Specialists responsible for AR follow-up and denial resolution across Virta's Tier 3 account portfolio. This is a "player-coach" role where throughput, consistency, and coaching quality are the primary levers for performance. You'll split your time between developing your direct reports and working accounts yourself, serving as the escalation resource for your team on payer issues that need a more experienced hand. This role reports to the RCM Back End Manager.

Responsibilities

Team Development: Lead and develop a team of Collections Specialists, setting daily priorities and holding the team accountable to follow-up cadences and high documentation standards; Portfolio Ownership: Act as a "working lead" by directly managing a portion of the Tier 3 AR portfolio, including payer follow-up, denial resolution, and escalation calls; Escalation Support: Serve as the first point of contact for your team on complex denials, payer disputes, and accounts requiring advanced review or documentation; Performance Monitoring: Track team-level AR aging and denial trends, reporting on performance against KPIs and flagging systemic issues to leadership with data-supported recommendations; Operational Consistency: Ensure the team consistently utilizes productivity scorecards, standardized follow-up templates, and auditable documentation practices

Requirements

4+ years in healthcare Revenue Cycle Management with a specialized focus on collections and AR follow-up; Previous experience leading, mentoring, or training billing specialists or contractors in an RCM environment; Advanced Excel skills (VLOOKUPs, Pivot Tables, data cleaning) to manage complex reconciliation reports and audit large datasets for accuracy; Expert-level understanding of CPT, HCPCS, and ICD-10 coding, commercial/government payer timely filing limit policies, and claim adjudication; Proficiency with navigating EHRs, clearinghouse platforms, payer portals and CRM platforms such as Salesforce; Proven ability to remain organized while managing both a team workload and a personal account portfolio simultaneously; Put people first; Strong sense of ownership and initiative; Prioritize positive impact over busy work; No ego; Appreciate transparency; Evidence-based prioritizing data and science; Take risks and rapidly iterate

Nice to have

Athena or Candid Health experience