Revenue Specialist III

🔥 21 horas atrás

⛰️ Colorado – Remoto

⛰️ Colorado – Remote

💵 $20 - $28 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

⚙️ Operações

🚫👨‍🎓 Sem graduação necessária

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DaVita Kidney Care

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1994

⚕️ Seguro de Saúde

💰 Post-IPO Debt em 2021-02

Healthcare Insurance

DaVita Kidney Care é uma empresa líder em saúde que oferece diálise e tratamentos relacionados para pacientes com doença renal. Comprometida em melhorar a qualidade de vida de seus pacientes, a DaVita foca em oferecer cuidado renal integrado e em apoiar sua equipe diversa de profissionais de saúde, incluindo enfermeiros, nutricionistas, assistentes sociais e técnicos de atendimento ao paciente. A empresa valoriza uma cultura forte, o desenvolvimento de carreira e benefícios abrangentes para criar um ambiente de trabalho inclusivo e de apoio para seus colaboradores.

Descrição

• 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 • 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 • May be asked to work overtime as needed • Know, understand and follow teammate guidelines, employment policies, and department or company procedures

🎯 Requisitos

• 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) • Excellent decision making and problem-solving skills • Ability to adapt quickly and manage stress • Relationships Building

🏖️ Benefícios

• 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.