Revenue Lead, ROPS

DaVita Kidney Care • Malvern, AL

4d • $23 - $31 • Onsite

About The Position

This position is a project base role to oversee end-to-end medical claims operations. The ideal candidate has knowledge of healthcare insurance claims processes, leadership skills, and the ability to deliver results in a fast paced, deadline driven project environment. This position also provides ongoing training, quality assurance reviews and reviews of key metrics.

Requirements

• High School diploma or equivalent required
• Two to four years’ experience in healthcare reimbursement and revenue cycle management
• Intermediate proficiency in MS Excel, Word and PowerPoint
• Commitment to 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

Nice To Haves

• Knowledge of healthcare insurance claims processes
• Leadership skills
• Ability to deliver results in a fast paced, deadline driven project environment

Responsibilities

• Review, weekly and monthly key metrics to identify trends or areas of focus; work with Management to develop, document, and implement action plans to address issues
• Act as resource for teammate’s questions and assist with issues of focus and problematic payer issues
• Train new teammates
• Identify training opportunities to improve individual and team performance; perform one-on-one and group training as needed
• Recommend changes on collection teams, tools, policies and procedures
• Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts
• Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement
• Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment. Support department initiatives.
• Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changes
• Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving
• Owning AR and driving results/cash
• Ability to interact positively with all levels of the company
• Maintain confidentiality of all patients, teammate, and company information in accordance with HIPPA regulations and DaVita policies
• Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures
• Consistent, regular and punctual attendance as scheduled
• Overtime may be required to ensure timely completion of tasks and required duties
• Attend team meetings, phone conferences, and training as needed
• Know, understand, and follow department or company procedures
• Embrace the DaVita culture by actively participating in village and neighborhood initiatives
• Demonstrate DaVita’s core values in all aspects of your role

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

What This Job Offers

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