Revenue Specialist II

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $19 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Monitor the Coverage Change Alerts (CCA) dashboard and review requested coverage changes • Validate entity and plan affiliations using multiple data points to ensure accurate processing and coordinate benefits (COB) • Review paid claims to mitigate inappropriate retractions • Use Nautilus, Registration System, Sparc, and VIA to evaluate and make standard “Retain” decisions • Autonomously manage coverage approvals and denials with standardized documentation in Registration System/NS notes • Maintain accurate patient accounts and confidentiality in accordance with HIPAA guidelines • Partner with Clinical, IMT, Collections, and Admissions teams to resolve patient coverage limitations • Use root-cause analysis to identify workflow improvements • Attend and facilitate team meetings, phone conferences, and training as needed • Follow teammate guidelines, employment policies, department/company procedures, and SOX documentation practices

🎯 Requirements

• High school diploma or equivalent required; bachelor’s degree preferred • Revenue cycle experience required (2+ years preferred) • Deep knowledge of the revenue cycle with a focus on understanding insurance, retro coverage changes, and collections • Basic computer skills • Proficiency in Microsoft Office (Word, Excel, Outlook) • Excellent critical thinking and problem-solving skills • Ability to analyze complex situations and determine Retain vs. Resolve strategies based on Retro Coverage rules • Strong communication and interpersonal skills • Ability to adapt quickly in a frequently changing environment • Ability to work independently and take ownership of an assigned queue/book of business • Understanding and embrace of DaVita’s “community first, company second” culture

🏖️ 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