Revenue Lead, ROPS

DaVita Kidney Care • Malvern, AL

3d • $23 - $31

About The Position

The Revenue Lead, ROPS is a project-based role overseeing end-to-end medical claims operations. The role provides ongoing training and quality assurance reviews, monitors key metrics, and supports results in a fast-paced, deadline-driven project environment. The Revenue Lead also supports department initiatives, manages accounts receivable, and drives cash results. The position has no supervisory responsibilities and requires less than 5% travel.

Requirements

• High school diploma or equivalent.
• Two to four years of experience in healthcare reimbursement and revenue cycle management.
• Intermediate proficiency in MS Excel, Word, and PowerPoint.
• Knowledge of healthcare insurance claims processes.
• Leadership skills and ability to deliver results in a fast-paced, deadline-driven project environment.
• Strong analytical skills and follow-through, with the ability to probe, question, listen, and problem-solve.
• Ability to manage multiple projects, meet deadlines, and adjust priorities appropriately.
• Ability to interact positively with patients, teammates, management, physicians, and vendors.
• Commitment to DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment, and Fun.

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.
• Serve as a resource for teammate questions and assist with focus areas and problematic payer issues.
• Train new teammates.
• Identify training opportunities to improve individual and team performance, and provide one-on-one and group training as needed.
• Recommend changes to collection teams, tools, policies, and procedures.
• Review and approve adjustments and claim appeals submitted by Specialists of Patient Accounts.
• Conduct quality assurance reviews of work output and provide feedback to teammates and management, including suggestions for improvement.
• Manage and lead multiple projects, meet deadlines, adjust priorities in a fast-paced work environment, and support department initiatives.
• Stay current on changes to ESRD and Medicare Secondary Provider laws and changes.
• Use analytical skills, follow-through, and probing, questioning, listening, and problem-solving to identify underlying assumptions.
• Own accounts receivable and drive results and cash.
• Interact positively with all levels of the company.
• Maintain confidentiality of patient, teammate, and company information in accordance with HIPAA regulations and DaVita policies.
• Follow the DaVita teammate handbook, employment policies, and safety and security policies and procedures.
• Maintain consistent, regular, and punctual attendance as scheduled.
• Attend team meetings, phone conferences, and training as needed.
• Follow department and company procedures.
• Participate actively in village and neighborhood initiatives and demonstrate DaVita’s core values.
• Work overtime when required to ensure timely completion of tasks and duties.

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