# Senior Manager, Back End Revenue Cycle

**Company:** [Virta Health](https://hotfix.jobs/companies/virta-health)
**Location:** Remote
**Role:** Finance & Accounting
**Salary:** $117k – $135k/yr
**Experience:** 7+ years
**Skills:** Athena Health, Ar Management, Denial Management, Collections, Ansi X12 277Ca, Payer-Specific Workflows, Zuora, NetSuite, Claims Submission, Appeals Management
**Posted:** 2026-06-08

> Lead back-end revenue cycle operations including AR follow-up, denial management, and collections. Build and develop a team while driving reduction in aging AR and improving denial overturn rates using Athena Health.

## Job Description

## Responsibilities

### Claim Receipt & Submission Confirmation
- 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

### Accounts Receivable Management
- 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

### Denial Management
- 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

### Collections
- 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

### Team Leadership & Development
- 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
- 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

## 90 Day Plan
- AR over 180 days: Reduce from 40%
- Overall denial rate: Reduce to target
- Denial overturn rate: >60% of appealed claims successfully overturned
- Timely filing write-off rate: Near zero
- Days Sales Outstanding (DSO): Establish baseline; target reduction
- 277CA acknowledgment rate: 100% of submitted claims confirmed received by payer
- Cash collection rate: Actual cash collected vs. contracted PMPM — by payer

## Must-Haves
- 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

## Values-Driven Culture
- Put people first and take care of yourself, your peers, and our patients equally
- Strong sense of ownership and take initiative while empowering others
- Prioritize positive impact over busy work
- No ego and understand that everyone has something to bring to the table
- Appreciate transparency and promote trust and empowerment through open access of information
- Evidence-based and prioritize data and science over seniority or dogma
- Take risks and rapidly iterate

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