Senior Manager, Back End Revenue Cycle

Virta Health

Senior Manager, Back End Revenue Cycle at Virta Health focusing on revenue cycle management and team leadership. Driving improvements in AR management and denial resolution processes for enhanced patient care.

Posted 6/8/2026full-timeRemote • Alaska, Hawaii, Maine, Mississippi, New Mexico, Oklahoma, Rhode Island, South Dakota, Vermont, Wisconsin • 🇺🇸 United StatesSenior💰 $117,000 - $135,000 per yearWebsite

About the role

Key responsibilities & impact

Establish and maintain active monitoring of ANSI X12 277CA claim acknowledgment transactions to confirm payers have received submitted claims
Implement a tracking and escalation process for claims that have not received 277CA acknowledgment within defined payer-specific windows
Partner with the Front End Revenue Cycle Manager and Engineering to ensure clean claim submission and minimize rejection rates at the clearinghouse level
Maintain working knowledge of clearinghouse workflows and claim status tracking capabilities
Own the Athena Health AR aging report — ensuring it accurately reflects payment status and is actively worked on a defined cadence
Establish AR follow-up workflows by payer and aging bucket, with defined SLAs and escalation paths for each tier
Drive systematic reduction of the over-180-day AR balance through targeted payer follow-up, appeals, and collections activity
Coordinate with Finance and the Manager/Director of Operational Effectiveness to ensure AR balances in Athena are accurately reflected in Zuora and NetSuite through a defined reconciliation process
Identify and escalate AR balances where the insurance collection path has been exhausted and the employer guarantee of payment clause may apply
Build and manage a structured denial work queue in Athena Health with assigned ownership, defined SLAs, and a clear resubmission process for each denial reason code
Analyze denial trends by payer, reason code, and service line to identify root causes and implement upstream controls to prevent recurrence
Prioritize denial resolution based on dollar value and timely filing window expiration — ensuring high-value, near-deadline denials are worked first
Establish appeals workflows for payer-specific appeal processes, including supporting documentation requirements and submission timelines
Monitor denial overturn rates by payer and reason code, and use outcomes data to refine appeal strategies
Partner with the Front End Revenue Cycle Manager to address eligibility-driven denials at the root — denials reflecting coverage terminations that should have been caught upstream
Manage the collections process for both claims-billed payer populations
Establish payer-specific follow-up protocols including call queues, correspondence templates, and escalation timelines
Coordinate with Client Success on employer group collections, including communication protocols and escalation to the employer guarantee of payment process when appropriate
Monitor and report on cash collection rates by payer against contracted PMPM rates, identifying and investigating variances
Recruit, onboard, and develop back-end RCM staff including AR follow-up specialists, denial management analysts, and collectors
Establish competency requirements, training programs, and performance expectations for all back-end positions — with particular emphasis on experienced denial management and collections hires
Conduct regular AR review sessions with staff to ensure accounts are being worked effectively and escalations are appropriate
Build a culture of accountability, data-driven decision making, and continuous improvement within the back-end team

Requirements

What you’ll need

7+ years of revenue cycle management experience with a focus on back-end functions — AR management, denial management, and collections
Deep expertise in payer-specific denial reason codes, appeal processes, and timely filing requirements across major commercial payers
Demonstrated experience reducing AR aging and improving denial overturn rates in a complex payer environment
Experience with Athena Health or comparable practice management and claims system — specifically AR follow-up and denial management workflows
Proven ability to build and lead a collections and denial management team
Demonstrates a proactive use of AI tools to improve individual output and efficiency

Benefits

Comp & perks

Offers Equity 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

revenue cycle managementaccounts receivable managementdenial managementcollectionsclaim acknowledgment transactionsappeal processesAR follow-up workflowsdata analysiscash collection monitoringAI tools utilization

Soft Skills

leadershipteam developmentcommunicationproblem-solvingdata-driven decision makingaccountabilitycontinuous improvementcollaborationtraining program developmentperformance management