Revenue Specialist II, ROPS
About The Position
Excited to grow your career? DaVita is currently looking for a Revenue Specialist for our billing systems setup team in the Revenue Operations Department. Individuals who excel in this role are highly ambitious, results driven, and willing to "think outside the box." This position requires a high level of attention to detail and the ability to work well as part of a fast-paced team. The ideal candidate has a high level of multitasking abilities, analytical skills, and is driven by resolving various payer and system setup issues with the goal to “get it right the first time”. This position will support analysis through aggregating data, resolving revenue issues and improving processes. Hybrid and remote position available. All necessary equipment is provided.
Requirements
- High School Diploma or equivalent required
- 2 years of healthcare experience in Revenue Operations or experience working with a variety of health care insurance payers
- Experience with using Microsoft Word, Excel, Access and Outlook
- Excellent communication skills: (Written & Verbal). The position involves regular communication with insurance payers, internal teams, and customers
- Excellent decision making and problem-solving skills: Patient account and every insurance payer 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 and 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
Responsibilities
- Research and input system architecture changes for insurance setup objects in support of generating revenue and claims for billing
- Implement and resolve highly complex payer contract requirements into DaVita’s systems
- Respond to internal teams’ inquiries on contract, revenue, plan management and billing attributes
- Perform duties for the revenue operations department related to either contract management, revenue management or insurance plan management including billing templates (i.e. UB04, HCFA 1500)
- Communicate with insurance payers to understand network coverage, relationships and contract terms to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
- Process payer, partner and customer requests to ensure center and payer information is loaded into the billing system for accurate billing including single patient agreements
- Respond timely and accurately to payer communications and bulletins
- Collaborate with other revenue operations teams to ensure seamless processes across teams
- Help identify process changes and opportunities for continuous improvements
- Always maintain current system setup attributes, including new technology, and charge master items
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
- Understand how setup objects/contract/payer requirements and system logic tie together in the billing system by collecting, analyzing, interpreting and summarizing data from source systems
- Attend team meetings, phone conferences, and training as scheduled
- May be asked to work overtime as needed
- Know, understand and follow teammate guidelines, employment policies, and department or company procedures
Benefits
- More than just pay, our DaVita Rewards package connects teammates to what matters most.
- Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment.
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
