Revenue Specialist I (ROPS)

About the role

This position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process, ensuring the timely and accurate submission of insurance claims, collecting payment on outstanding patient balances, communicating with insurance payers, communicating with patients, reviewing and submitting system setup requests, responding to payer communications, collaborating with other revenue operations teams, partnering with clinics teammates, identifying process changes, and maintaining confidentiality of all company and patient information.

Responsibilities

• Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
• Communicate with insurance payors to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
• Communicate with patients over the phone and advocate on their behalf to help resolve coordination of benefits disputes
• Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing
• Respond timely and accurately to payer communications
• Collaborate with other revenue operations teams to ensure seamless processes across teams
• Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information
• Help identify process changes and opportunities for continuous improvements
• Maintain current patient account information at all times

Requirements

• Excellent communication skills: (Written & Verbal)
• Excellent decision making and problem-solving skills
• Ability to adapt quickly and manage stress
• Relationships Building: Working in teams and with other departments is central to this position

Qualifications

• High school diploma or equivalent
• Basic computer skills and proficiency in MS Word, Excel, and Outlook
• Training Provided By DaVita
• Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
• Knowledge of medical billing and reimbursement practices
• Usage of DaVita billing and reimbursement systems
• Basic medical reimbursement terminology
• Basic knowledge of healthcare reimbursement accounting principles

Skills

• Excellent communication skills: (Written & Verbal)
• Excellent decision making and problem-solving skills
• Ability to adapt quickly and manage stress
• Relationships Building: Working in teams and with other departments is central to this position

Benefits

• Comprehensive benefits package
• Flexible scheduling
• Community-based work culture
• Competitive “pay for performance” pay structure
• Paid time off
• PTO cash out
• Family resources
• EAP counseling sessions
• Access to Headspace®
• Backup child and elder care
• Maternity/paternity leave
• On-demand virtual leadership and development courses through DaVita’s online training platform StarLearning

Pay

$19.50 - $23.00/hour

Schedule

Monday - Friday, Daytime Hours!