Revenue Specialist III

🔥 2 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $26 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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DaVita Kidney Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1994

⚕️ Healthcare Insurance

💰 Post-IPO Debt on 2021-02

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

• 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.

🎯 Requirements

• 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 • 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.

🏖️ Benefits

• 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.