Revenue Specialist III

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $20 - $28 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

⚙️ 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

• Assist in preparation of estimating net revenues • Analyze FFS (fee-for-service) collection trending • Work in a consultative capacity to identify and implement process, technology and training initiatives to support the accurate and timely billing and collection of accounts receivable. • Provide analytical support to and develop tools for company operations to enhance their skills in detecting both current and future performance issues • Perform research on best practices and standards in the revenue cycle for the healthcare industry to assist in standardization of goal setting performance monitoring • Develop and manipulate large data sets as well as analyzes data groups to assist in the development and implementation of process improvement strategies • Understanding knowledge of 837/EDI process including payer specific rules. • Assists in auditing all electronic reports and paper claims and make corrections when necessary. • Ensures accessibility and flow of performance information to all relevant parties; works to prevent or address data transmission issues • Analyzes financial and revenue cycle performance data to identify trends, patterns, and root causes

🎯 Requirements

• Seven years of relevant healthcare claims experience with identifying insurance underpayments and revenue recovery. • Highly analytical with excellent reconciliation experience and sound accounting working knowledge • Must be familiar with commercial and government healthcare reimbursement methodologies. • Strong knowledge of hospital billing and managed care. • Highly organized • Initiative to work independently • Familiarity with AWP pricing rules • Pharmacy and Major Medical healthcare billing • Proficient with telephone and email communications. • Minimum three years of data or financial analysis experience

🏖️ 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.