ashby
RCM Front End Lead Specialist
Virta Health
Remote, USA
Full-time
Senior · 3+ years experience
Remote
USD 59000-76500 yearly / year
Discovered 1 weeks ago
AthenaZuoraSparkSalesforceJIRACPT
Free
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Key Skills for This Role
AthenaZuoraSparkSalesforceJIRACPT
Full Job Posting
Claims Billing Implementations
Lead and oversee the configuration and setup of new client billing accounts, ensuring full operational readiness and accuracy.
Partner with cross-functional teams (Engineering, Credentialing, Eligibility, Finance) to ensure seamless onboarding and payment setup.
Maintain and evolve documentation for onboarding, configuration, and customer contract updates.
Own and maintain the Price Book, ensuring accuracy across all billing and payer setups.
Lead and complete billing testing to validate configurations and prevent downstream issues.
Interpret and apply eligibility, benefit, and coding details (CPT, HCPCS, ICD-10) to ensure compliance and precision in all setups.
Serve as a key contributor in scaling implementation processes—developing documentation, recommending automation, and improving workflows.
Charge Entry Team Lead
Serve as a subject matter expert (SME) for front-end RCM processes and system integrations.
Oversee and manage Data and Charge Entry contractors and FTEs supporting team direction and deliverables
Lead small-to-medium process improvement projects focused on automation, accuracy, and scalability.
Drive enhancements across platforms such as Athena, Zuora, and Salesforce, ensuring downstream billing logic remains accurate.
Mentor and support junior team members and contractors, sharing institutional knowledge, reviewing work, and modeling effective communication and problem-solving.
Communicate proactively, constructively resolving differences and aligning stakeholders through documentation, clear updates, and collaborative planning.
90 Day Plan
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