ROPS Coordinator I (Lab)

DaVita Kidney Care

1d•Onsite

About The Position

The ROPS Coordinator I (Lab) performs a variety of administrative and support duties for multiple departments throughout Patient Accounting. This role requires strong organizational and communication skills, the ability to multitask and navigate through high volume work, and proficiency in Microsoft Applications with internet research abilities and intermediate software skills. The position involves completing specialized tasks that require critical thinking and independent decision making, and a substantial understanding of the job to apply knowledge and skills to a wide range of tasks. This position reports to the Supervisor or Manager, Patient Accounting. DaVita Laboratories is a state-of-the-art clinical laboratory focused primarily on kidney care, delivering timely and accurate lab results with a commitment to quality. DaVita Labs serves over 180,000 patients and performs 52 million renal tests annually. The company fosters a "community first, company second" culture and aims to build the greatest healthcare community.

Requirements

High school diploma or equivalent required
Minimum of 1+ years’ experience in the healthcare industry with provider billing, collections and/or payer experience required
Typing is a must
Intermediate computer skills and proficiency in MS Word, Excel, Outlook, and ability to use Internet effectively a must

Nice To Haves

Knowledge of appeals process and claim systems strongly preferred

Responsibilities

Contact payers who are processing hardcopy claims or submitting manual payments and initiate conversion to electronic by filing required paperwork. Pull down electronic remittance advice from payer websites for processing. Oversee Payor Internet Accesses and applicable spreadsheet as requested from Patient Accounting Teammates.
Process appeal letters, patient statements, authorization paperwork and STAT/PPS denial letters. Scan images and maintain electronic library for appeals and STAT/PPS Invoices. Process all hardcopy claims, pull medical documents as needed for payer requirements, and pull remittance advice for secondary claims.
Create refund packets by pulling EOBs, printing applicable letters and adding the information to reversal tracking spreadsheet.
Process daily incoming mail by sorting per the policy and procedure while ensuring the mail gets delivered to the appropriate department. Research returned mail, including patient statements, or checks that have been returned by recipient by pulling necessary documentation and distributing to appropriate department or teammate for review and reprocessing.
In preparation for data entry into the database system, research invoices received from hospital/laboratory to confirm patient was referred by a DaVita facility for lab work.
Performs other duties as assigned

Benefits

A "community first, company second" culture based on Core Values that really matter.
Clinical outcomes consistently ranked above the national average.
Award-winning education and training across multiple career paths to help you reach your potential.
Performance-based rewards based on stellar individual and team contributions.
A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.
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
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.
Competitive total rewards package