Revenue Specialist II

🔥 16 hours ago

🌪️ Kansas – Remote

🌪️ Kansas – Remote

💵 $19 - $25 / 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 key performance indicators, metrics, data points, and formulas supporting management objectives • Align processes 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 operational tools to identify current and future performance issues • Research revenue-cycle best practices and healthcare industry 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 • Familiarity with AWP pricing rules • Knowledge of pharmacy and major medical healthcare billing • Knowledge of 837/EDI processes, including payer-specific rules • Knowledge of commercial and government healthcare reimbursement methodologies • Strong knowledge of hospital billing and managed care • Significant knowledge of reimbursement rules, regulations, accounting, and auditing theory • Working knowledge of healthcare, including billing, coding, and working with clinicians • Prior project management experience • Advanced Excel and strong technical skills • Excellent reconciliation experience and sound accounting knowledge • Excellent verbal and written communication skills • Ability to define problems, collect data, establish facts, and draw valid conclusions • Ability to interpret technical instructions in mathematical or diagram form • Ability to work independently • Highly organized and initiative to work independently

🏖️ Benefits

• Medical, dental, and vision coverage • 401(k) match • Paid time off • PTO cash out • Family resources • EAP counseling sessions • Headspace® access • Backup child and elder care • Maternity/paternity leave • Professional development programs • On-demand virtual leadership and development courses through DaVita’s StarLearning platform

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