Revenue Specialist III (ROPS)

DAVITA • Auburn, WA

5d • $25 - $32

About The Position

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
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
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.
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.

Requirements

• 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
• High school diploma or equivalent
• Basic computer skills and proficiency in MS Word, Excel, and Outlook

Responsibilities

• 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
• 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

Benefits

• Flexible scheduling
• Fun and positive work environment
• Competitive “pay for performance” pay structure
• Generous PTO and comprehensive benefits package
• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED