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DaVita

Provides dialysis and comprehensive kidney care

Revenue Specialist 2 - Rops

Clinical Support & Patient AdministrationUpdated on Nov 15
Full-timeNorth Dakota, USA

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • Two years of healthcare experience in Revenue Operations or experience working with a variety of healthcare insurance payers is required.
  • Experience using Microsoft Word, Excel, Access, and Outlook is required.
  • The role requires written and verbal communication with insurance payers, internal teams, and customers.
  • The role requires decision-making and problem-solving abilities to evaluate patient accounts and payer-specific situations.
  • The role requires the ability to adapt quickly and manage stress in a frequently changing environment.
  • The role requires relationship-building and the ability to work with teams and other departments.

Responsibilities

  • Research and input system architecture changes for insurance setup objects in support of generating revenue and claims for billing.
  • Implement and resolve complex payer contract requirements in DaVita’s systems.
  • Respond to internal teams’ inquiries on contract, revenue, plan management, and billing attributes.
  • Perform Revenue Operations duties in contract management, revenue management, or insurance plan management, including billing templates such as UB04 and 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 clinics.
  • Process payer, partner, and customer requests to load center and payer information 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.
  • Identify process changes and opportunities for continuous improvement.
  • Maintain current system setup attributes, including new technology and charge master items.
  • Maintain confidentiality of company and patient information in accordance with HIPAA regulations and company policies.
  • Collect, analyze, interpret, and summarize data from source systems to understand how setup objects, contract and payer requirements, and system logic connect in the billing system.
  • Attend scheduled team meetings, phone conferences, and training.
  • Work overtime as needed.
  • Follow teammate guidelines, employment policies, and department or company procedures.

About the Company

DaVita

Provides dialysis and comprehensive kidney care

DaVita provides kidney care services, primarily dialysis, for people with chronic kidney disease and end-stage renal disease, and runs integrated care programs with educational resources. Its services are delivered through dialysis centers, with treatment guided by patient-centered care and tracked using clinical metrics to monitor outcomes; it also offers Kidney Smart classes and risk quizzes to help patients manage kidney health. The company differentiates itself by focusing on value-based, holistic and equitable care across a network, coordinating services to improve results while controlling costs. Its goal is to improve patient outcomes, reduce healthcare costs, and build a robust, equitable kidney-care community.

Company size
10,001+
Company stage
IPO
Headquarters
Denver, CO
Founded
1979

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