Revenue Specialist II (ROPS)

DaVita Kidney Care • 09507 - Colorado Remote, CO

2d • $20 - $26 • Onsite

About The Position

Team Phantasm is a highly specialized, results-driven group within Revenue Operations. Our team focuses on resolving complex claim issues, specifically managing negative receipts caused by retractions, recoups, and refunds. We work closely with many insurance payers and collaborate with internal partners to ensure accurate claim resolution, execute payer appeals, and manage bad debt adjustments. We pride ourselves on our problem-solving abilities, teamwork, and accountability.

Requirements

• High school diploma or GED, required
• Ability to research and problem solve, using analytical and critical thinking skills
• Healthcare and medical billing/collections experience
• Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook
• Demonstrated history of resolving challenging issues
• Deeply built values of TEAM!
• Experience utilizing issue tracking software and intermediate-to-advanced Microsoft Excel skills (e.g., Pivot Tables, reporting trackers)
• Excellent written and verbal communication skills for effective payer outreach and clear internal collaboration
• A strong commitment to team engagement, accountability, and living the DaVita Way

Nice To Haves

• Associates or Bachelor’s degree, highly preferred

Responsibilities

• Investigate and resolve complex negative receipts, retractions, and recoup postings on patient accounts to ensure accurate claim balances.
• Partner with internal teams—including Team Reach—to coordinate payment postings, manage apply-back rules, and resolve general ledger (GL) discrepancies.
• Perform deep dives into recurring claim issues to identify broader trends and resolve bigger picture problems, preventing future negative receipts.
• Submit formal appeals and escalation letters to payers regarding retractions, missing payments, and DaVita issued refunds. Follow up consistently to track payer responses.
• Audit patient accounts to correct misapplied funds, reallocate payments between primary and secondary insurances, and apply appropriate financial adjustments to ensure accurate billing records.
• Maintain high performance on core team metrics

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED