RCM Direct Billing Lead Specialist

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. As an RCM Direct Billing Specialist, you will play an important role in supporting the billing and accounts receivable operations for Virta’s direct-billed employer clients. You will work across Revenue Cycle Management, Finance, Product, and Client Success to help 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 Within your first 90 days at Virta, we expect you will do the following: 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. Must-Haves 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. Values-driven 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 Is this role not quite what you're looking for? Join our Talent Community and follow us on Linkedin to stay connected! Virta has a location based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $54,500-$70,500/year. Information about Virta’s benefits is on our Careers page at: https://www.virtahealth.com/careers . As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential. Security and privacy training will be provided. As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco. Clinical roles: We currently do not hire in the following states: AK, HI, RI Corporate roles: We currently do not hire in the following states: AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI. Virta uses Ashby as its applicant tracking system, which incorporates AI-powered tools (provided by OpenAI, AWS, and Google Gemini) in certain aspects of the recruiting process, including application review, candidate screening, and interview note taking; your data is not used to train AI models, and all final hiring decisions are made by Virta Health personnel. For more information, see Ashby's AI Terms at https://www.ashbyhq.com/resources/terms-ai-features #LI-remote