Revenue Specialist I – Appeals, Denials

🔥 0 minutes ago

🔔 Pennsylvania – Remote

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💵 $19 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of DaVita Kidney Care

DaVita Kidney Care

10,000+ employees

Founded 1994

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

Healthcare • 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

• Develop and maintain relationships with insurance companies • Collect payment from insurance companies on outstanding patient balances • Research and resolve problem accounts as needed • Maximize collections to achieve collection performance goals • Research and resolve accounts on behalf of patients • Use phone, email, and insurance carrier portals to achieve resolution • Identify trends and perform root cause analysis on unpaid and underpaid claims • Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor • Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives

🎯 Requirements

• Denials/Appeals experience preferred • Candidate will be expected to work PST hours • 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 is preferred • Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook • Demonstrated history of resolving challenging issues • Deeply built values of TEAM!

🏖️ Benefits

• A Fun, relationships-based culture-patient- and teammate-driven team • Working for a company stability-as the nation's largest independent provider of dialysis services • Receive award winning training, as note in Training Magazine Top 125 award-winning education • Opportunity for multiple career paths across a variety of cutting-edge modalities • Rewards for your STELLAR performance • Exceptional benefits-including the healthcare industry's most generous profit sharing program • 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 • Professional development programs • On-demand virtual leadership and development courses through DaVita’s online training platform StarLearning

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