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Revenue Lead, ROPS

Support revenue escalation by resolving complex government payor billing issues
02821 - Team Music City, United States 02821 - Team Music City
Senior
yesterday
DaVita

DaVita

A healthcare provider specializing in kidney care and dialysis services for patients with chronic kidney failure and end-stage renal disease.

Revenue Escalation Specialist

The Government Payor Alliance (GPA) Team is dedicated to maximizing revenue and advancing patient advocacy through strategic public policy monitoring, data-driven analysis, and effective issue resolution. This role will support the Escalation Manager in researching and resolving complex revenue challenges. The position also plays a key role in supporting internal teams by identifying compliance risks, facilitating problem-solving, and coordinating efforts across Revenue Operations (ROPS) and external partners.

Key Responsibilities:

  • Collaborate with management to develop, document, and implement action plans to address revenue-related issues.
  • Identify payer trends and root causes of billing or claim exceptions; take steps to resolve or escalate to minimize bad debt.
  • Apply policies related to escalations and take appropriate business actions.
  • Escalate issues as necessary and provide thoughtful recommendations.
  • Support the resolution of issues related to government payor billing and collections.
  • Assist with documentation of reimbursement issues and related data.
  • Ensure accurate recordkeeping and compliance with regulatory guidelines.
  • Demonstrated analytical and problem-solving skills to investigate complex issues.
  • Communicate effectively and maintain positive interactions with partner teams.
  • Attend team meetings, phone conferences, and training sessions as required.
  • Exhibit consistent, regular, and punctual attendance; overtime may be required to complete critical tasks.
  • Uphold DaVita's core values in all professional responsibilities.
  • Follow teammate guidelines, employment policies, and department or company procedures.
  • Perform other duties as assigned to support Revenue Operations initiatives.

Essential Behaviors & Skills:

  • Communication & Collaboration: Builds strong relationships and communicates clearly.
  • Analytical Thinking: Applies critical thinking and problem-solving skills to address billing complexities.
  • Independence & Teamwork: Works effectively both independently and as part of a team.
  • Detail-Oriented: Demonstrates attention to detail.
  • Adaptability: Maintains flexibility and focus in the face of shifting priorities.
  • Self-Driven Professionalism: Operates with minimal supervision, maintains strong documentation, and upholds a high standard of professionalism.

Minimum Qualifications:

  • Must be an RS III or above to apply.
  • 2+ years current internal Revenue cycle experience with a proficient understanding of Medicare, Medicaid, Advantage, Managed and DSNP billing and reimbursement.
  • High School Diploma or equivalent required.
  • Proficiency in Microsoft Word, Excel, Teams, and Outlook for data management and communication.

What We'll Provide:

  • 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.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days. The Wage Range for the role is $23.00 - $34.00 per hour.

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Revenue Lead, ROPS
02821 - Team Music City, United States 02821 - Team Music City
Operations
About DaVita
A healthcare provider specializing in kidney care and dialysis services for patients with chronic kidney failure and end-stage renal disease.