Analyst, Business (ROPS)

DaVita Kidney Care • 09514 - California Remote, CA

1d • $78,000 - $94,000 • Onsite

About The Position

This teammate ensures timely and accurate claims submission for assigned dialysis centers within a geographic region in accordance with DaVita policies and in compliance with federal and state billing regulations. A Registration Specialist validates patient insurance information provided by facilities, through the patient intake process, to complete the patient registration process.

Requirements

• High school diploma or equivalent required
• Basic computer skills and proficiency in MS Word, Excel, and Outlook required

Nice To Haves

• Minimum of three (3) years' healthcare reimbursement experience preferred
• experience with admissions, billing, and collections preferred
• Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred

Responsibilities

• Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information
• Enter insurance information into billing system
• Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis
• Update Patient Registration and associated systems accurately and as required
• Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration
• Partner with facility and Insurance Management Team to resolve incomplete registrations
• Review registration denials received to determine root cause
• Resolve patient account errors that cause registration denials
• Help identify process changes to prevent failed registrations
• Determine Coordination of Benefits as required; maintain current patient account information at all times
• Follow-up as necessary to ensure insurance changes are verified and line of coverage is reset
• Submit internal requests, including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc., to ensure accurate and timely claims submission to the correct payor
• Complete all ancillary reports and assigned projects within established timeframes
• Support Patient Account Representatives and other ROPS teammates as needed
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Work overtime with little or no notice as needed
• Attend team meetings, phone conferences, and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Benefits

• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, Headspace®, backup child and elder care, maternity/paternity leave
• Professional development programs
• On-demand virtual leadership and development courses through DaVita’s online training platform StarLearning

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED