Revenue Lead, ROPS Setup
About The Position
The Revenue Lead, ROPS Setup Team supports supervisors and managers through advanced setup work, technical guidance, coaching, and project leadership. The role independently resolves complex issues, strengthens configuration accuracy, and helps prevent downstream billing exceptions. Success requires initiative, analytical curiosity, sound judgment, and the ability to explain complex workflows clearly. Healthcare revenue cycle experience is helpful but not required. The Revenue Lead independently completes complex Claim Content, Plan Code evaluation, contract loading, CDM attribute, metadata, and Setup Change Project (SCP) work in Nautilus and related systems. The position researches unclear requirements, resolves claim-formatting and system-edit issues, and carries work through validation and closure. It also supports peer training, quality control, data analysis, process improvement, cross-functional coordination, and special leadership initiatives.
Requirements
- High school diploma or equivalent.
- Demonstrated initiative, independent problem-solving, attention to detail, and ability to manage competing priorities in a remote, highly regulated environment.
- Intermediate Excel proficiency, including VLOOKUP/XLOOKUP, Pivot Tables, data organization, and formulas.
- Confidence navigating complex systems.
- Clear written and verbal communication, sound judgment with ambiguous requirements, and ability to coach peers with patience and empathy.
Nice To Haves
- Associate’s or Bachelor’s degree.
- Experience in healthcare revenue cycle, billing system setup, medical claims, or other highly regulated operations.
- Experience as an informal lead, peer trainer, or mentor.
Responsibilities
- Independently complete complex Claim Content, Plan Code evaluation, contract loading, CDM attribute, metadata, and Setup Change Project (SCP) work in Nautilus and related systems.
- Research unclear requirements, resolve claim-formatting and system-edit issues, and carry work through validation and closure; escalate blockers with findings and recommended next steps.
- Follow DaVita compliance policies, SOX controls, and data integrity standards, and document configuration decisions and supporting evidence.
- Serve as a day-to-day technical resource; onboard Revenue Specialists and coach specialists and peers through complex setup tickets with clear explanations and constructive feedback.
- Identify knowledge gaps and maintain SOPs, job aids, and checklists for recurring workflows; seek feedback and build expertise in unfamiliar setup work.
- Perform pre-bill and post-implementation quality assurance, including root-cause analysis of recurring errors.
- Use Excel lookups, Pivot Tables, and formulas to audit configurations, monitor aging and error trends, and share actionable findings with supervisors.
- Identify recurring rework and workflow bottlenecks; lead or co-lead practical improvements, test setup changes, update procedures, and help specialists and peers adopt new workflows.
- Coordinate handoffs and issue resolution with Billing, Collections, IT, Payor Partnerships, and other ROPS Teams; explain setup impacts, clarify next steps, and keep partners informed through completion.
- Model Core Values, communicate with empathy and respect, and foster belonging through team meetings and Village activities.
- Support special leadership initiatives and projects, and 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, including on-demand virtual leadership and development courses through DaVita’s StarLearning platform.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
