Revenue Specialist III (ROPS)

DaVita • Federal Way, WA

1d

About The Position

DaVita is seeking a Revenue Specialist for its billing systems setup team in the Revenue Operations Department. The role supports revenue analysis by aggregating data, resolving revenue issues, and improving processes. It is suited to an ambitious, results-driven person with strong attention to detail, multitasking and analytical abilities, and the capacity to work effectively in a fast-paced team. The position is available as hybrid or remote, and all necessary equipment is provided.

The specialist handles revenue-cycle work related to contract management, revenue management, or insurance plan management. The role involves researching and implementing system architecture changes for insurance setup objects, translating complex payer contract requirements into DaVita systems, responding to internal inquiries, and maintaining accurate billing setup. The specialist also communicates with payers and internal teams, analyzes information from source systems, and contributes to process improvements while protecting confidential company and patient information in accordance with HIPAA and DaVita policies.

Requirements

• High school diploma or equivalent.
• Two years of healthcare experience in Revenue Operations or experience working with a variety of healthcare insurance payers.
• Experience using Microsoft Word, Excel, Access, and Outlook.
• Excellent written and verbal communication skills.
• Strong decision-making and problem-solving skills, including the ability to assess differing patient accounts and payer situations and determine appropriate action.
• Ability to adapt quickly and manage stress in a changing environment.
• Relationship-building skills and ability to work with teams and other departments.

Responsibilities

• Research and input system architecture changes for insurance setup objects to support revenue generation and claims billing.
• Implement and resolve complex payer contract requirements in DaVita’s systems.
• Respond to internal inquiries regarding contracts, revenue, plan management, and billing attributes.
• Perform Revenue Operations duties related to contract management, revenue management, or insurance plan management, including billing templates such as UB04 and HCFA 1500.
• Communicate with insurance payers about network coverage, relationships, and contract terms to support timely and accurate reimbursement for dialysis services.
• Process payer, partner, and customer requests to load center and payer information into the billing system, including single patient agreements.
• Respond to payer communications and bulletins accurately and promptly.
• Collaborate with other Revenue Operations teams to support seamless processes.
• Identify process changes and opportunities for continuous improvement.
• Maintain current system setup attributes, including new technology and charge master items.
• Protect confidential company and patient information in accordance with HIPAA regulations and DaVita policies.
• Collect, analyze, interpret, and summarize data to understand how setup objects, contract and payer requirements, and system logic connect in the billing system.
• Attend team meetings, phone conferences, and training as scheduled.
• Work overtime as needed.
• Follow teammate guidelines, employment policies, and department or company procedures.

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: High school or GED