Revenue Specialist I, ROPS - Remote Eligible

Revenue Cycle Specialist

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

Example of daily responsibilities includes:

• Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
• Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
• 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
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies

Other duties could include:

• May be asked to work overtime as needed
• Attend team meetings, phone conferences, and training as needed
• Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Experience and required skills:

• No previous healthcare experience is required
• Excellent communication skills: (Written & Verbal). The position involves regular communication with insurance payors, employers, or other teams.
• Excellent decision making and problem-solving skills. Patient account and every insurance payor is different. The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role.
• Ability to adapt quickly and manage stress. Our environment can change quickly on a daily basis. Adapting and managing stress is important for success.
• Relationships Building: Working in teams and with other departments is central to this position.

Minimum 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

DaVita offers:

• Flexible scheduling
• Fun and positive work environment
• Competitive pay for performance pay structure
• Generous PTO and comprehensive benefits package

Here is what you can expect when you join our Village:

• 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.

Our Core Values:

• Service Excellence
• Integrity
• Team
• Continuous Improvement
• Accountability
• Fulfillment
• Fun

The Wage Range for the role is $16.50 - $24.50 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.