Revenue Specialist III, ROPS

DaVita • Malvern, PA

96d • $20 - $31 • Remote

About The Position

We are currently seeking ambitious and team-oriented, analytically-minded individuals who enjoy problem-solving and researching in a fast-paced and FUN work environment! This is a unique opportunity to help build a culture of excellence and belonging on a brand-new team. We're hiring operational experts and business analysts to work hand-in-hand on this critical work. Individuals in this role will focus on Eligibility Payer responses and research accuracy to optimize the REG workflow with our Eligibility and Insurance Discovery vendors.

Requirements

• High school diploma or GED, required.
• Associates or Bachelor's degree, highly preferred.
• Ability to research and problem solve, using analytical and critical thinking skills.
• Healthcare and medical billing/collections experience is preferred.
• Intermediate computer proficiency in Microsoft Office including: OneNote, Excel, and Outlook.
• Demonstrated history of resolving challenging issues.
• Deeply built values of TEAM!

Responsibilities

• Researching reported issues to validate the root cause and reviewing for accuracy to maximize efficiency and eliminate non-value add work.
• Resolving discrepancies that prevent us from receiving quality data, at both the patient and payor levels.
• Providing case studies and examples to illustrate issues and communicate with vendors to drive resolution.
• Audit Eligibility and Insurance Discovery alerts to ensure the correct action is taken.
• Driving next steps including correcting TM errors, defining best practices, and enhancing workflows.
• Periodically reviewing existing processes to make refinements.
• Identifying changes to payor behavior and broader system solutions to confirm if workflows need to be adjusted.
• Partnering with embedded analysts to layer business context over analytical insights.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED