Revenue Specialist I (ROPS)

DaVita Kidney Care

20h • Onsite

About The Position

This position performs revenue cycle duties including advocating for patients, assisting patients to update their primary insurance for timely and accurate submission of insurance claims, and collecting payment on outstanding patient balances. Daily responsibilities include performing duties for the revenue operations department related to medical insurance billing, collections, or patient access. This involves communicating with patients and insurance payers to ensure proper insurance coverage or timely reimbursement for dialysis services. The role also includes reviewing and submitting system setup requests, responding to payer communications, collaborating with other revenue operations teams, and partnering with clinic teammates to ensure timely and accurate insurance information. Additionally, the position involves identifying process improvement opportunities, maintaining current patient account information, and upholding confidentiality in accordance with HIPAA regulations and DaVita policies. Other duties may include working overtime as needed and attending team meetings, phone conferences, and training.

Requirements

• Excellent communication skills: (Written & Verbal).
• Excellent decision making and problem-solving skills.
• Ability to adapt quickly and manage stress.
• Relationships Building: Working in teams and with other departments is central to this position.
• High school diploma or equivalent.
• Basic computer skills and proficiency in MS Word, Excel, and Outlook.
• Must have ROPS revenue cycle management experience.

Nice To Haves

• Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states.
• Knowledge of medical billing and reimbursement practices.
• Usage of DaVita billing and reimbursement systems.
• Basic medical reimbursement terminology.
• Basic knowledge of healthcare reimbursement accounting principles.

Responsibilities

• Perform duties for revenue operations department related to medical insurance billing, collections or patient access.
• Communicate with patients and insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics.
• Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing.
• 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.

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 and more
• 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