Revenue Lead, ROPS

DaVita Kidney Care • 09507 - Colorado Remote, CO

4d • $23 - $31 • Onsite

About The Position

This position researches and resolves high complexity collection account balances according to DaVita policies and procedures and compliance with federal and state billing regulations. This position also provides ongoing training and guidance for Specialist Patient Account teammates, and performs data trending analysis, quality assurance reviews and review of key metrics.

Requirements

• High School diploma or equivalent required
• 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
• Building Relationships / Collaboration: Establishes relationships: connects easily with people and acts as a collaborative partner: puts others at ease and gains personal acceptance.
• Building Relationships / Collaboration: Seeks opportunities: Proactively tries to build effective working relationships with other people.
• Building Relationships / Collaboration: Demonstrates emotional intelligence: Uses strong conflict resolution skills.
• Building Relationships / Collaboration: Demonstrates openness in dealing with others: Acts in a manner consistent with the village and team mission and values; ensures that words and actions are consistent; keeps commitments to agree upon action.
• Building Relationships / Collaboration: Provides service excellence: Be a trusted partner to all peers, customers, support teams and leaders in an effort to build solid relationships.
• Communication / Influence: Clarifies purpose and importance when communicating with others: Actively listens and responds appropriately.
• Communication / Influence: Seeks to understand: Uses open-ended questions to explore issues and clarify perspectives and goals.
• Communication / Influence: Makes a compelling case: Presents logical and rationale recommendations in a manner that clearly links them to critical business priorities.
• Communication / Influence: Gains Commitment: Adjusts influence strategy based on stakeholder perspectives; leverages shared goals to convince others to take action; handles objections; asks for agreement to next steps.
• Communication / Influence: Effectively Communicates: Listens without passing judgment and doesn’t rush in to give advice; communicates with respect in every interaction.
• Adaptability: Demonstrates an understanding of changes: Actively seeks information about new work situations; strives to understand the rationale and implications for changes in works responsibilities or environment.
• Adaptability: Embraces change openly & positively: Treats change and new situations as opportunities for learning and growth; identifies the benefits of change; speaks positively about the change to others.
• Adaptability: Quickly gains knowledge, understanding or skill: Demonstrate the ability to integrate new information and draws conclusions from it.
• Adaptability: Adjusts behavior: Quickly modifies behavior to deal effectively with changes in the work environment; tries new approaches appropriate for new or changed situations; does not persist with ineffective behaviors.
• Adaptability: Believes continuous improvement is a way of life: Processes the change unselfishly & seeks to understand the overall village impact.
• Managing Work (Includes Time Management): Effectively manage multiple assignments and priorities: Identifies critical activities and tasks and arranges them in order of relevance; adjusts priorities when appropriate.
• Managing Work (Includes Time Management): Makes preparations: Ensures that required materials are in appropriate location and ensure work is completed timely and effectively.
• Managing Work (Includes Time Management): Schedules: Effectively allocates own time to complete work; coordinates schedule to avoid conflicts.
• Managing Work (Includes Time Management): Utilizes resources: Demonstrates ability to delegate and takes advantage of available resources (individuals, processes, departments and tools) to complete work efficiently.
• Managing Work (Includes Time Management): Stays focused: Uses time effectively and prevents irrelevant issues or distractions from interfering with work completion.
• Critical Thinking: Recognizes issues, problems, or opportunities: determines the necessary action that is needed.
• Critical Thinking: Asking clarifying questions: in order to identify and better understand issues, problems and opportunities.
• Critical Thinking: Integrates information from a variety of sources; identify trends and cause – effect relationships within and outside of their lane.
• Critical Thinking: Develop and or evaluate relevant options: for addressing trends / opportunities to achieve desired resolution.
• Critical Thinking: Utilize firm decision making and reasoning skills: to ensure understanding of the end result.
• Critical Thinking: Formulate recommended action: and include others in the decision making process when warranted.
• Action Oriented: Responds timely: Takes immediate action when confronted with a problem or when made aware of a situation.
• Action Oriented: Takes independent action: Initiates and implements new ideas or potential solutions without prompting; does not wait for others to take action or to request action.
• Action Oriented: Goes above and beyond: Takes action that goes beyond job requirements in order to achieve objectives.
• Action Oriented: Ability to initiate new ideas: Turns ideas into processes with proven results.
• Action Oriented: Ability to follow Compliance protocol: Have a firm understand to ensure appropriate procedures and guidelines are followed and applied as appropriate.
• Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position.
• Ability to understand clinical/medical vocabulary written or spoken in English required.
• Vision adequate to perform the essential duties and responsibilities of position.
• Ability to lift minimum of 2 pounds to a maximum of 15 pounds unassisted; able to sit for extended periods of time with some standing, stooping, walking, stretching, reaching, lifting; moderate range of body motions
• Ability to hear and interact by phone, in person, and in presentations clearly and efficiently
• Ability to use computer and all peripherals as needed to meet goals

Nice To Haves

• Two to four years’ experience in healthcare reimbursement and revenue cycle management preferred

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
• Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt
• Identify and interpret policies related to exceptions
• Determine and apply appropriate business action in absence of policies or in cases of ambiguity
• Escalate issues as needed; provide recommendations
• 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
• 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
• Ability to interact positively with all levels of the company
• Maintain confidentiality of all patient, 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, access Headspace®, backup child and elder care, maternity/paternity leave and more
• DaVita offers a variety of programs to help strong performers grow within their career and also offers 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