Revenue Specialist I (ROPS)

DaVita Kidney Care • Federal Way, WA

1d • $21 - $26 • Onsite

About The Position

This position performs revenue cycle duties including but not limited to: Processing Out of Network patient authorizations ensuring the timely and accurate submission of requests to ensure patients are cleared to treat. Example of daily responsibilities includes: Perform duties for revenue operations department related to authorizations. Communicate with insurance payers to ensure proper treatment and medication authorizations for our patients 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 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

• Prior Authorization experience required
• 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
• Minimum of One (1) year of Registration/Authorization experience
• Basic computer skills and proficiency in MS Word, Excel, and Outlook

Nice To Haves

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

Responsibilities

• Processing Out of Network patient authorizations ensuring the timely and accurate submission of requests to ensure patients are cleared to treat.
• Perform duties for revenue operations department related to authorizations.
• Communicate with insurance payers to ensure proper treatment and medication authorizations for our patients 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 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 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