Revenue Specialist I

🔥 12 hours ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $19 - $23 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

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

• Work closely with practices and leaders to investigate and design strategic initiatives improving revenue cycle statistics, reporting capabilities, and overall performance • Implement, design, and support business and administrative analytics within revenue cycle functional areas • Develop reports with KPIs, metrics, data points, and formulas to support management objectives • Determine how processes can align with best practices to achieve optimal results, measurable change, and quantifiable positive contributions • Assist in preparing estimates of net revenues • Analyze fee-for-service collection trends • Identify and implement process, technology, and training initiatives supporting accurate and timely billing and accounts receivable collection • Provide analytical support and develop tools to help operations detect current and future performance issues • Research healthcare revenue-cycle best practices and standards to support standardized goal setting and performance monitoring • Develop and manipulate large datasets and analyze data groups for process-improvement strategies • Audit electronic reports and paper claims and make corrections when necessary • Ensure accessibility and flow of performance information to relevant parties and address data transmission issues • Analyze financial and revenue cycle performance data to identify trends, patterns, and root causes

🎯 Requirements

• 1+ years of relevant healthcare claims experience identifying insurance underpayments and revenue recovery • 1 year plus experience in health care finance, reimbursement, public or other accounting, auditing, budget, compliance, billing or insurance, with progressive responsibility in analysis and project management • 1–3 years of data or financial analysis experience • Highly analytical with excellent reconciliation experience and sound accounting working knowledge • Familiarity with AWP pricing rules • Knowledge of pharmacy and major medical healthcare billing • Familiarity with commercial and government healthcare reimbursement methodologies • Strong knowledge of hospital billing and managed care • Understanding of the 837/EDI process, including payer-specific rules • Strong technical skills and advanced Excel proficiency • Experience with billing, coding, and working with clinicians • Prior project management experience • Ability to work independently • Excellent verbal and written communication skills • Excellent systems skills • Highly organized • Initiative to work independently • Proficient with telephone and email communications

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • 401(k) match • Paid time off • PTO cash out • Family resources • EAP counseling sessions • Access to 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