Revenue Specialist I, ROPS

Posting Date

Would you like to work for a company with Core Values such as TEAM and FUN?  Do you want your work to make a difference?  Are you looking to build your career in healthcare?  Then, join our growing team, which offers abundant opportunities to develop your professional and personal skills, advance your career, and positively impact our patients' lives.

DaVita is hiring Revenue Cycle Specialists for our Medicare Patient Accounts team in our Revenue Operations Department. Successful individuals in this role are highly ambitious, results-driven, and like root cause analysis. This position requires a high level of attention to detail, critical thinking, and the ability to work well as part of a fast-paced team.  In addition, the ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by moving metrics to achieve success.

Specialists in this role will conduct collections activities which will entail contacting Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request rebills or adjustments on claims.   

*Seeking a candidate local or near Denver, CO. Highly qualified TMs will be considered for fully remote positions.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system
• Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims
• Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
• Stay current on communication relating to healthcare reimbursement and regulatory changes
• Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
• Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Consistent and punctual attendance as scheduled is an essential responsibility of this position

Qualifications:

• High school Diploma or equivalent (required)
• Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook (required)
• 1+ years general accounting or algebra math skills (required)
• Healthcare and medical billing/collections/denial remediation or refund experience (preferred)
• 1+ years of experience with generic accounting, transactions, or medical billing systems (preferred)

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

• A "community first, company second;" a 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

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• 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.

#LI-TT1

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.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits  

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process.  You will not be penalized for redacting or removing this information.