Revenue Specialist III

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $20 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1994

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

Healthcare Insurance

DaVita Kidney Care is a leading healthcare company that provides dialysis and related treatments for patients with kidney disease. Committed to improving the quality of life for its patients, DaVita focuses on offering integrated kidney care and supporting its diverse team of healthcare professionals, including nurses, dietitians, social workers, and patient care technicians. The company emphasizes a strong culture, career development, and comprehensive benefits to create an inclusive and supportive work environment for its employees.

📋 Description

• 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 • 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

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