Revenue Specialist III, ROPS

DaVita Kidney Care • 09507 - Colorado Remote, CO

1d • $21 - $28 • Hybrid

About The Position

DaVita is seeking a Sr. Credit Balance Specialist for its Revenue Operations Department. This role requires ambitious, results-driven individuals who can think outside the box and possess a high level of attention to detail. The ideal candidate will have strong multitasking abilities, mathematical and analytical skills, and a drive to resolve open balances to prevent future rework. In this position, you will analyze EOBs and/or payor correspondence to reconcile system credit balances or potential overpayments, research and resolve problem accounts, and request adjustments. You will also identify trends and analyze root causes to improve team efficiency. Hybrid and remote positions are available, and all necessary equipment will be provided.

Requirements

• High School Diploma or equivalent required
• 5+ years’ experience with accounting, transactions or medical billing systems a plus
• Health care and medical billing/collections/overpayment remediation or experience is preferred
• Knowledge or experience working with a variety of health care insurance payers is preferred
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook

Responsibilities

• Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refunds, retractions, and/or adjustments to claims
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims
• Use critical and analytical problem solving skills to resolve issues
• Uses strong organizational skills to effectively manage large amounts of detailed information
• Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.
• Contributes to implementation of process improvement initiatives aimed at improving credit department
• Supports monthly reporting of outstanding credit balances
• Stay current on communications relating to healthcare reimbursement and regulatory changes
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Understand and adhere to all policies, laws and regulations applicable to this role
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Benefits

• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, Headspace®, backup child and elder care, maternity/paternity leave

What This Job Offers

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