Revenue Specialist I (ROPS)
About The Position
The Revenue Specialist I performs revenue cycle duties related to medical insurance collections, credits, or setting patient insurance coverage. The role processes insurance information during patient intake, collects outstanding patient balances, resolves payer overpayments and refunds, and works with payers and clinic teammates to support accurate coverage and timely reimbursement for dialysis services. DaVita provides training in revenue cycle operations, insurance rules and regulations, medical billing and reimbursement, billing systems, reimbursement terminology, and healthcare reimbursement accounting principles.
Requirements
- High school diploma or equivalent.
- Basic computer skills and proficiency in Microsoft Word, Excel, and Outlook.
- Strong critical-thinking and problem-solving skills.
- Strong communication and interpersonal skills.
- Ability to adapt quickly and demonstrate resiliency.
- Ability to take ownership of a book of business and work through a queue with leadership support.
- Understand and embrace DaVita's culture.
Responsibilities
- Perform revenue operations duties related to medical insurance collections, credits, or setting patient insurance coverage.
- Communicate with insurance payers to confirm patient coverage and support timely, accurate reimbursement for dialysis services.
- Respond to payer communications accurately and on time.
- Collaborate with other revenue operations teams to support seamless processes.
- Partner with clinic teammates, including insurance counselors, social workers, and facility administrators, to maintain timely and accurate insurance information.
- Identify process changes and opportunities for continuous improvement.
- Maintain current patient account information.
- Protect confidential company and patient information in accordance with HIPAA regulations and DaVita policies.
- Attend team meetings, phone conferences, and training as needed.
- Follow teammate guidelines, employment policies, and department or company procedures.
- Work overtime as needed.
Benefits
- Flexible scheduling.
- Competitive pay-for-performance pay structure.
- Generous paid time off, including PTO cash out.
- Medical, dental, and vision coverage.
- 401(k) match.
- Family resources and EAP counseling sessions.
- Access to Headspace.
- Backup child and elder care.
- Maternity and paternity leave.
- Professional development programs and on-demand leadership and development courses.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
