Revenue Specialist III
DaVita Kidney Care
full-time
Posted on:
Location Type: Hybrid
Location: Denver • Colorado • United States
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Salary
💰 $21 - $28 per hour
About the role
- Perform revenue cycle duties including but not limited to: Research and input system architecture changes for insurance setup objects in support of generating revenue and claims for billing
- Implement and resolve highly complex payer contract requirements into DaVita’s systems
- Respond to internal teams’ inquiries on contract, revenue, plan management and billing attributes
- Example of daily responsibilities includes: Perform duties for the revenue operations department related to either contract management, revenue management or insurance plan management including billing templates (i.e. UB04, HCFA 1500)
- Communicate with insurance payers to understand network coverage, relationships and contract terms to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
- Process payer, partner and customer requests to ensure center and payer information is loaded into the billing system for accurate billing including single patient agreements
- Respond timely and accurately to payer communications and bulletins
- Collaborate with other revenue operations teams to ensure seamless processes across teams
- Help identify process changes and opportunities for continuous improvements
- Always maintain current system setup attributes, including new technology, and charge master items
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
- Understand how setup objects/contract/payer requirements and system logic tie together in the billing system by collecting, analyzing, interpreting and summarizing data from source systems
- Attend team meetings, phone conferences, and training as scheduled
- Other duties could include: May be asked to work overtime as needed
- Know, understand and follow teammate guidelines, employment policies, and department or company procedures
Requirements
- High School Diploma or equivalent required
- 2 years of healthcare experience in Revenue Operations or experience working with a variety of health care insurance payers
- Experience with using Microsoft Word, Excel, Access and Outlook
- Excellent communication skills: (Written & Verbal). The position involves regular communication with insurance payers, internal teams, and customers
- Excellent decision making and problem-solving skills: Patient account and every insurance payer 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 and 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
Benefits
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle dutiespayer contract requirementsbilling templatesdata analysissystem architecture changescontract managementrevenue managementinsurance plan managementbilling systemcharge master items
Soft Skills
communication skillsdecision makingproblem-solvingadaptabilitystress managementrelationship building
Certifications
High School Diploma