Revenue Specialist I (ROPS)

DaVita • Federal Way, WA

1d • Hybrid

About The Position

This position performs revenue cycle duties including 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. The role involves communicating with insurance payers to ensure proper insurance coverage or timely and accurate reimbursement for dialysis services, collaborating with other revenue operations teams, and partnering with clinic teammates such as Insurance Counselors, Social Workers, and Facility Administrators. The position also requires maintaining current patient account information, ensuring confidentiality in accordance with HIPAA regulations and DaVita policies, and potentially working overtime as needed. Teammates in this role will own a book of business and are expected to demonstrate drive and initiative to work through their queue, contributing to a positive work culture.

Requirements

• Excellent critical thinking and problem-solving skills
• Strong communication and interpersonal skills
• Ability to adapt quickly
• Ownership: Teammates in this position will own a book of business. With some support of their leadership, teammates in this role should demonstrate drive and initiative to work through their queue.
• Must have health insurance claims experience
• High school diploma or equivalent
• Basic computer skills and proficiency in MS Word, Excel, and Outlook

Nice To Haves

• Creating a Special Place: Understands and embraces the DaVita culture.

Responsibilities

• 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

• 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

What This Job Offers

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