Senior Analyst, Business – ROPS

🔥 0 minutes ago

🤠 Texas – Remote

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💵 $70k - $106k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

👻 Ghost score 0%

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Logo of DaVita Kidney Care

DaVita Kidney Care

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

• Initiate and maintain communication with facilities to ensure timely and accurate receipt of patients' insurance coverage information • Enter insurance information into the billing system • Verify patient insurance with payors, including eligibility and benefits related to outpatient kidney dialysis • Update Patient Registration and associated systems accurately • Coordinate with Patient Referral Coordinators to obtain required documentation for patient registration • Partner with facilities and the Insurance Management Team to resolve incomplete registrations • Review registration denials and determine root causes • Resolve patient account errors causing registration denials • Help identify process changes to prevent failed registrations • Determine Coordination of Benefits and maintain current patient account information • Follow up to verify insurance changes and reset lines of coverage • Submit internal requests, including RCUs, SMARTFORMS, PCS Inquiries, and SPA Requests, for accurate and timely claims submission • Complete ancillary reports and assigned projects within established timeframes • Support Patient Account Representatives and other ROPS teammates • Maintain confidentiality of company and patient information under HIPAA regulations and DaVita policies • Attend team meetings, phone conferences, and training as needed • Perform other assigned duties

🎯 Requirements

• High school diploma or equivalent required • Minimum of three (3) years' healthcare reimbursement experience preferred • Experience with admissions, billing, and collections preferred • Knowledge of insurance rules, regulations, and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred • Basic computer skills required • Proficiency in MS Word, Excel, and Outlook required • Ability to maintain confidentiality in accordance with HIPAA regulations and DaVita policies • Consistent, regular, punctual attendance as scheduled • Willingness to work overtime with little or no notice as needed

🏖️ Benefits

• Community first, Company second culture based on Core Values • Award-winning education and training across multiple career paths • Performance-based rewards based on individual and team contributions • Comprehensive benefits package • 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 StarLearning

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