Revenue Lead, ROPS

DaVita • Wichita, KS

4d • Onsite

About The Position

The Revenue Lead, ROPS researches and resolves high-complexity collection account balances in accordance with DaVita policies, procedures, and federal and state billing regulations. The role provides ongoing training and guidance to Revenue Specialist teammates and performs data-trending analysis, quality assurance reviews, and key-metric reviews. It has no supervisory responsibilities.

The position reviews collection metrics, identifies payer trends and root causes of billing or claim exceptions, and works with Management to develop and implement action plans. It serves as a resource for teammates, trains new employees, supports close reconciliation and insurance-claim submission activities, reviews adjustments and appeals, and recommends improvements to collection teams, tools, policies, and procedures. It also supports department initiatives and maintains awareness of changes to ESRD and Medicare Secondary Provider laws.

The role is based at 909 N Topeka St, Wichita, Kansas. Less than 5% travel is required. Overtime may be required to complete tasks and duties on time. The posted wage range is $22.50–$31.00 per hour.

Requirements

• High school diploma or equivalent.
• Intermediate proficiency in Microsoft Excel, Word, and PowerPoint.
• Strong analytical skills and follow-through, including the ability to probe, question, listen, and problem-solve to uncover underlying assumptions.
• Ability to interact positively with all levels of the company.

Nice To Haves

• Two to four years of experience in healthcare reimbursement and revenue cycle management.

Responsibilities

• Review weekly and monthly key metrics to identify trends or areas of focus, and work with Management to develop, document, and implement action plans.
• Identify payer trends and root causes of billing or claim exceptions; resolve or escalate issues to minimize bad debt.
• Identify and interpret policies related to exceptions, and determine appropriate business action when policies are absent or ambiguous.
• Escalate issues as needed and provide recommendations.
• Serve as a resource for teammates by answering questions and assisting with issues of focus and problematic payer issues.
• Train new teammates and identify training opportunities to improve individual and team performance; conduct one-on-one and group training as needed.
• Recommend changes to collection teams, tools, policies, and procedures.
• Perform close reconciliation approvals and related activities to ensure timely submission of primary, secondary, and tertiary insurance claims; serve as a subject matter expert for close.
• Review and approve adjustments and claims appeals submitted by Specialists of Patient Accounts.
• Conduct quality assurance reviews of work output, provide feedback to teammates and Management, and suggest improvements.
• Manage and lead multiple projects, meet deadlines, and adjust priorities in a fast-paced work environment.
• Support department initiatives and stay current on changes to ESRD and Medicare Secondary Provider laws.
• Maintain confidentiality of patient, teammate, and company information in accordance with HIPAA regulations and DaVita policies.
• Follow DaVita teammate handbook, employment, safety, security, department, and company policies and procedures.
• Maintain consistent, regular, and punctual attendance; attend team meetings, phone conferences, and training as needed.
• Participate in village and neighborhood initiatives and demonstrate DaVita’s core values.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage.
• 401(k) match.
• Paid time off and PTO cash out.
• Family resources and EAP counseling sessions.
• Access to Headspace.
• Backup child and elder care.
• Maternity and paternity leave.
• Professional development programs and on-demand virtual leadership and development courses through StarLearning.

What This Job Offers

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