ROPS Coordinator I (Lab)

DaVita Kidney Care

22h

About The Position

The ROPS Coordinator I (Lab) performs a variety of administrative and support duties for multiple departments throughout Patient Accounting. This role requires strong organizational and communication skills. Must have the ability to multitask and navigate through high volume work. Must be proficient in the use of Microsoft Applications and have internet research abilities as well as intermediate software skills. Completes specialized tasks that require critical thinking and independent decision making. Must have a substantial understanding of the job and applies knowledge and skills to complete a wide range of tasks. This position reports to the Supervisor or Manager, Patient Accounting.

Requirements

High school diploma or equivalent required
Minimum of 1+ years’ experience in the healthcare industry with provider billing, collections and/or payer experience required
Typing is a must
Intermediate computer skills and proficiency in MS Word, Excel, Outlook, and ability to use Internet effectively a must

Nice To Haves

Knowledge of appeals process and claim systems strongly preferred

Responsibilities

Contact payers who are processing hardcopy claims or submitting manual payments and initiate conversion to electronic by filing required paperwork. Pull down electronic remittance advice from payer websites for processing. Oversee Payor Internet Accesses and applicable spreadsheet as requested from Patient Accounting Teammates.
Process appeal letters, patient statements, authorization paperwork and STAT/PPS denial letters. Scan images and maintain electronic library for appeals and STAT/PPS Invoices. Process all hardcopy claims, pull medical documents as needed for payer requirements, and pull remittance advice for secondary claims.
Create refund packets by pulling EOBs, printing applicable letters and adding the information to reversal tracking spreadsheet.
Process daily incoming mail by sorting per the policy and procedure while ensuring the mail gets delivered to the appropriate department. Research returned mail, including patient statements, or checks that have been returned by recipient by pulling necessary documentation and distributing to appropriate department or teammate for review and reprocessing.
In preparation for data entry into the database system, research invoices received from hospital/laboratory to confirm patient was referred by a DaVita facility for lab work.
Performs other duties as assigned

Benefits

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.