Revenue Specialist I (ROPS)

What Will You Do?

This position performs revenue cycle duties including processing patient insurance information through the patient intake process, collecting payment on outstanding patient balances, and resolving credits when overpayments are received from payers and refunds need to be issued.

Daily Responsibilities

• Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage
• 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
• 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

• 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 critical thinking and problem-solving skills
• Strong communication and interpersonal skills
• Ability to adapt quickly and demonstrate resiliency
• Ownership and drive to work through a queue with some leadership support
• Understands and embraces the DaVita culture

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