Revenue Specialist II

🕒 il y a 6 jours

⛰️ Colorado – Distant

⛰️ Colorado – Remote

💵 $19 - $25 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

⚙️ Opérations

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DaVita Kidney Care

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1994

⚕️ Assurance santé

💰 Post-IPO Debt en 2021-02

Healthcare Insurance

DaVita Kidney Care est une entreprise leader dans le domaine des soins de santé qui fournit des dialyses et des traitements associés aux patients atteints de maladies rénales. Engagée à améliorer la qualité de vie de ses patients, DaVita se concentre sur une prise en charge rénale intégrée et soutient son équipe diversifiée de professionnels de la santé, incluant des infirmiers, des diététiciens, des assistants sociaux et des techniciens de soins aux patients. L'entreprise met l'accent sur une culture forte, le développement de carrière et des bénéfices complets pour créer un environnement de travail inclusif et favorable pour ses employés.

Description

• Claims Resolution: Investigate and resolve complex negative receipts, retractions, and recoup postings on patient accounts to ensure accurate claim balances. • Cross-Functional Collaboration: Partner with internal teams—including Team Reach—to coordinate payment postings, manage apply-back rules, and resolve general ledger (GL) discrepancies. • Root Cause Analysis: Perform deep dives into recurring claim issues to identify broader trends and resolve bigger picture problems, preventing future negative receipts. • Payer Escalations & Appeals: Submit formal appeals and escalation letters to payers regarding retractions, missing payments, and DaVita issued refunds. Follow up consistently to track payer responses. • Account Reconciliation & Adjustments: Audit patient accounts to correct misapplied funds, reallocate payments between primary and secondary insurances, and apply appropriate financial adjustments to ensure accurate billing records. • Performance Metrics: Maintain high performance on core team metrics.

🎯 Exigences

• High school diploma or GED, required • Associates or Bachelor’s degree, highly preferred • Ability to research and problem solve, using analytical and critical thinking skills • Healthcare and medical billing/collections experience • Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook • Demonstrated history of resolving challenging issues • Deeply built values of TEAM! • Technical Proficiency: Experience utilizing issue tracking software and intermediate-to-advanced Microsoft Excel skills (e.g., Pivot Tables, reporting trackers) • Communication: Excellent written and verbal communication skills for effective payer outreach and clear internal collaboration • Culture Fit: A strong commitment to team engagement, accountability, and living the DaVita Way.

🏖️ Avantages

• 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.