Senior Analyst, Business – ROPS

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $70k - $106k / year

⏰ Full Time

🟠 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

• Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information • Enter insurance information into billing system • Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis • Update Patient Registration and associated systems accurately and as required • Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration • Partner with facility and Insurance Management Team to resolve incomplete registrations • Review registration denials received to determine root cause • Resolve patient account errors that cause registration denials • Help identify process changes to prevent failed registrations • Determine Coordination of Benefits as required; maintain current patient account information at all times • Follow-up as necessary to ensure insurance changes are verified and line of coverage is reset • Submit internal requests, including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc., to ensure accurate and timely claims submission to the correct payor • Complete all ancillary reports and assigned projects within established timeframes • Support Patient Account Representatives and other ROPS teammates as needed • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies • Other duties and responsibilities as assigned

🎯 Requirements

• High school diploma or equivalent required • Minimum of three (3) years' healthcare reimbursement experience preferred; experience with admissions, billing, and collections preferred • Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred • Basic computer skills and proficiency in MS Word, Excel, and Outlook required

🏖️ 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.