Manager, Revenue Operations (ROPS)

DaVita Kidney Care • Malvern, AL

2d • Onsite

About The Position

The Manager, Revenue Operations (ROPS) is responsible for managing the Third-Party Billing and Collections team, the Cash Posting team, and the Medicare Part B Billing team to ensure timely and accurate billing and collections practices. This role also participates in achieving pharmacy-wide goals, reviews key metrics, maintains confidentiality, and collaborates with other departments. The position requires maintaining current knowledge of all laws and regulations impacting the Reimbursement Operations team and involves up to 10% travel.

Requirements

• Bachelor’s degree in Business, Accounting, or related field required.
• Minimum of five (5) years experience managing Accounts Receivable (A/R) in a healthcare provider setting.
• Demonstrated, detailed knowledge of and managerial oversight for Medicare Part D, Medicare Part B, Medicaid and Commercial Insurance billing and collections activities for plans across multiple states required.
• Advanced computer skills and proficiency in MS Word, Excel, Access, and Visio required.
• Intermediate proficiency with Outlook required.
• Prior experience using electronic billing system strongly required.
• Commitment to and role model of DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Partners) in everyday performance and interactions.
• Ability to manage multiple projects, deadlines, and priorities in a fast-paced, ever-changing and evolving work environment.
• Demonstrated ability to work effectively at both detail and big-picture levels.
• Demonstrated strengths in organizational, attention-to-detail, follow-through, reasoning, critical thinking, and problem-solving skills.
• Strong analytical skills with the ability to seek out underlying assumptions through probing, questioning, and listening.
• Ability to proactively identify and analyze issues and to identify and implement solutions collaboratively.
• Analytical thinker with demonstrated ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives.
• Strong customer service skills and commitment to service excellence.
• Demonstrated ability to think outside-the-box.
• Proven leadership skills and the ability to collaborate across functions.
• Strong understanding of business process; ability to maximize resources to accomplish key metrics.
• Demonstrated ability to create, refine, and manage new business processes.
• Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively.
• Demonstrated ability to work well with cross-functional groups.
• Demonstrated interpersonal, collaborative, and relationship-building skills; ability to interact positively with teammates at all levels of the company.
• Approachability and openness.
• Demonstrated ability to communicate difficult or sensitive information tactfully.
• Professional presence and strong presentation skills.
• Willingness and ability to create a team learning environment and to foster a positive, fulfilling work environment.
• Willingness to assist teammates in order to achieve departmental goals.
• Demonstrated strengths in teambuilding and leadership skills.
• Supervisory experience demonstrating willingness, desire, and ability to supervise with aptitude and skills for coaching, mentoring, training, and developing teammate performance.
• Willingness and desire to create a team learning environment and to foster a positive, fulfilling work environment.
• Demonstrated ability to balance department efficiency and field service excellence.
• Willingness to assist teammates in order to achieve departmental goals.
• Demonstrated strengths in teambuilding and leadership skills.

Nice To Haves

• Basic proficiency in PowerPoint preferred.

Responsibilities

• Manage the work of teammates and participate as necessary to ensure goals are met within established policies and procedures.
• Manage the Third-Party Billing and Collections team to minimize Third-Party A/R, ensuring appropriate controls and procedures are in place for timely and accurate billing and collections.
• Manage the Cash Posting team to ensure all Third-Party (Insurance) and Patient payments are applied in accordance with company policies, completing weekly reconciliation of payments received and posted to meet Cash Controls and SOX compliance requirements, and ensuring patient billing statements are produced accurately and mailed timely each month.
• Manage the Medicare Part B Billing team to ensure billing and collecting on Medicare Part B items (as well as resulting secondary billable items) are completed timely, accurately, and in compliance with all laws and regulations.
• Participate in achieving pharmacy-wide goals including but not limited to Patient Retention and Quality initiatives.
• Review daily, weekly, and monthly key metrics to identify trends or areas of focus; inform Director of variances and trends.
• Maintain confidentiality of all patient, teammate, and company information in accordance with HIPAA regulations and DaVita policies.
• Collaborate closely and in conjunction with Director with other DaVita Rx departments and teammates as well as with DaVita facility teammates as necessary for the overall benefit of patients and achievement of mutual goals.
• Maintain current knowledge of all laws, regulations, and changes that may impact the Reimbursement Operations team.
• Provide leadership to direct reports, helping them overcome organizational obstacles.
• Manage all teammate employment activity such as hiring, promoting, job performance, evaluations, retention, and disciplinary actions with appropriate approvals.
• Address teammate relations issues appropriately and escalate as necessary.
• Develop, document, and implement action plans to address deficiencies identified while reviewing teammates’ work product.
• Ensure all DaVita employment processes are completed timely and in compliance with DaVita policy and any applicable laws.
• Facilitate teammate development (PDRs, coaching, mentoring, DaVita training, outside training); collaborate with direct reports to create professional development goals.
• Provide consistent, visible, and timely communication to the team on team goals, objectives, and progress.
• Maintain familiarity with and communicate to teammates DaVita programs impacting teammates.
• Ensure new teammates receive the appropriate training, tools, system access, and support to effectively complete their duties.
• Provide work direction for department teammates, determining staffing plans that promote the most effective use of all teammates and ensuring adequate staffing levels and phone coverage.
• Know and understand basic wage and hour laws, federal, state and local laws and regulations, Medicare, and legislation affecting employment.
• Review and approve time cards of hourly direct reports for bi-weekly payroll.
• Track overtime, attendance, and PTO.
• Develop and conduct educational programs to keep teammates up-to-date on DaVita policies, new laws and regulations impacting work, and other information necessary to maintain teammates’ knowledge of department processes and goals.
• Know, understand, follow, and implement DaVita safety and security policies and procedures.

Benefits

• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees