Revenue Specialist I (ROPS)

DaVita Kidney Care•Maxatawny Township, PA

4d•$20 - $23•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, and collaborating with other revenue operations teams and clinic teammates to ensure seamless processes. Maintaining current patient account information and confidentiality in accordance with HIPAA regulations and DaVita policies is also a key aspect of this role. Additional duties may include working overtime as needed and attending team meetings, phone conferences, and training.

Requirements

Excellent critical thinking and problem-solving skills
Strong communication and interpersonal skills
Ability to adapt quickly and demonstrate resiliency
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

Understand and embrace the DaVita culture
Own a book of business

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