Lead Specialist, RCM Direct Billing

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee daily accounts receivable operations for direct-billed employer clients, which includes cash application, account analysis, payment reconciliation, and follow-up on outstanding balances.

• Track direct-bill AR aging, investigate any discrepancies, assist in collections, and escalate complex or high-risk matters as needed.

• Conduct research and provide responses to billing inquiries regarding invoice amounts, billing periods, member counts, credits, and payment applications.

• Collaborate with Finance, Product, and Client Success teams to address billing issues and ensure the provision of accurate and timely information to clients.

• Reconcile reports from Zuora, NetSuite, Athena, and related systems by identifying and resolving any discrepancies.

• Evaluate non-standard billing requests, document client-specific needs, and coordinate with internal teams accordingly.

• Keep detailed records of billing inquiries, adjustments, collections activities, and resolutions of issues.

• Generate regular AR aging and billing reports, communicating trends, risks, and unresolved matters to RCM leadership.

• Adhere to billing controls, including write-off approval protocols, while maintaining relevant documentation.

• Suggest improvements to billing workflows and assist in updating standard operating procedures.

• Within the first 90 days, familiarize yourself with Virta’s direct billing model, systems, billing schedule, and client demographics; independently process payments; establish cross-functional relationships; monitor assigned accounts; document workflows; and identify feasible improvement opportunities.

⛳️ Requirements

• A minimum of 3 years of experience in accounts receivable, billing, revenue cycle management, or a similar operational role.

• Experience in subscription, SaaS, PMPM, healthcare, employer benefits, or another recurring billing environment.

• Proficient knowledge of cash application, invoice-level payment reconciliation, AR aging, account reconciliation, and research of billing discrepancies.

• Capability to communicate billing information effectively and collaborate with Finance, Product, Client Success, and other cross-functional stakeholders.

• Proactive utilization of AI tools to enhance personal productivity and efficiency.

• Ability to adhere to HIPAA-related security and privacy protocols while maintaining confidentiality of patient information.

• Legal authorization to work in the United States is required in the application.

🏝️ Benefits

• Equity offered.

• Remote-first work environment.

• Office hubs located in Denver and San Francisco.

• Security and privacy training provided.

• Compensation commensurate with qualifications and experience.