Revenue Specialist II (ROPS)

DaVita • Wichita, KS

2d

About The Position

The Revenue Specialist II works closely with practices and leaders to investigate and design strategic initiatives that improve revenue cycle statistics, reporting capabilities, and overall performance. The role implements, designs, and supports business and administrative analytics in revenue cycle functional areas, and develops reports featuring key performance indicators, metrics, data points, and formulas to support management objectives. It evaluates how processes can be aligned with best practices to achieve optimal results, measurable change, and positive, quantifiable contributions.

The specialist analyzes revenue cycle and financial data, supports accurate and timely billing and collections, researches industry best practices, and helps develop process-improvement strategies. The position requires strong analytical, reconciliation, communication, and systems skills, along with knowledge of healthcare reimbursement and billing.

Requirements

• At least 1 year of relevant healthcare claims experience identifying insurance underpayments and revenue recovery.
• At least 1 year of experience in healthcare finance, reimbursement, public or other accounting, auditing, budgeting, compliance, billing, or insurance, with progressive responsibility in analysis and project management.
• 1–3 years of data or financial analysis experience.
• Highly analytical, with excellent reconciliation experience and sound working knowledge of accounting.
• Familiarity with commercial and government healthcare reimbursement methodologies.
• Strong knowledge of hospital billing and managed care.
• Strong technical skills, including advanced Excel.
• Excellent verbal and written communication skills.
• Significant knowledge of reimbursement rules and regulations, and accounting and auditing theory.
• Working knowledge of healthcare, including billing, coding, and working with clinicians.
• Ability to work independently; prior project management experience.
• Excellent communication and systems skills.
• Highly organized and proactive, with familiarity with AWP pricing rules, pharmacy and major medical healthcare billing, and telephone and email communications.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret a wide variety of technical instructions in mathematical or diagram form and deal with abstract and concrete concepts.

Responsibilities

• Assist in preparing net revenue estimates.
• Analyze fee-for-service collection trends.
• Consult with stakeholders to identify and implement process, technology, and training initiatives that support accurate and timely billing and accounts-receivable collection.
• Provide analytical support and develop tools to help company operations detect current and future performance issues.
• Research healthcare revenue-cycle best practices and standards to support standardized goal setting and performance monitoring.
• Develop and manipulate large data sets and analyze data groups to support process-improvement strategies.
• Apply knowledge of the 837/EDI process, including payer-specific rules.
• Audit electronic reports and paper claims and make corrections when necessary.
• Ensure performance information is accessible and flows to relevant parties, and work to prevent or address data transmission issues.
• Analyze financial and revenue-cycle performance data to identify trends, patterns, and root causes.

Benefits

• Medical, dental, and vision coverage.
• 401(k) match.
• Paid time off and PTO cash out.
• Family resources and EAP counseling sessions.
• Access to Headspace.
• Backup child and elder care.
• Maternity and paternity leave.
• Professional development programs and on-demand virtual leadership and development courses through StarLearning.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed