Revenue Specialist I (ROPS)

DaVita Kidney Care•Las Cruces, NM

2d•$17 - $23

About The Position

This position performs revenue cycle duties including but not limited to: Processing patient insurance information through the patient intake process, collecting payment on outstanding patient balances, and resolving credits when overpayments are received from payers and refunds need to be issued. Example of daily responsibilities includes: Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics Respond timely and accurately to payer communications Collaborate with other revenue operations teams to ensure seamless processes across teams Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information Help identify process changes and opportunities for continuous improvements Maintain current patient account information at all times Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies Other duties could include: May be asked to work overtime as needed Attend team meetings, phone conferences, and training as needed Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Requirements

Excellent critical thinking and problem-solving skills
Strong communication and interpersonal skills
Ability to adapt quickly
Ownership
Must have health insurance claims experience
High school diploma or equivalent
Basic computer skills and proficiency in MS Word, Excel, and Outlook

Responsibilities

Processing patient insurance information through the patient intake process
Collecting payment on outstanding patient balances
Resolving credits when overpayments are received from payers and refunds need to be issued
Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage
Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
Respond timely and accurately to payer communications
Collaborate with other revenue operations teams to ensure seamless processes across teams
Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information
Help identify process changes and opportunities for continuous improvements
Maintain current patient account information at all times
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
May be asked to work overtime as needed
Attend team meetings, phone conferences, and training as needed
Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Benefits

Flexible scheduling
Fun and positive work environment
Competitive “pay for performance” pay structure
Generous PTO and comprehensive benefits package
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
Professional development programs
on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning