Revenue Specialist I, ROPS

DaVita Kidney Care

16h•$21 - $26

About The Position

This position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances Example of daily responsibilities includes: Perform duties for revenue operations department related to either medical insurance billing, collections or patient access 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 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 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 communication skills: (Written & Verbal). The position involves regular communication with insurance payors, employers, or other teams.
Excellent decision making and problem-solving skills: Patient account and every insurance payor is different. The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role
Ability to adapt quickly and manage stress: Our environment can change quickly on a daily basis. Adapting and managing stress is important for success
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
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

processing patient insurance information through the patient intake process
ensuring the timely and accurate submission of insurance claims
collecting payment on outstanding patient balances
Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
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
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
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