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Revenue Specialist I, ROPS

2 months ago

Irvine, United States DaVita Full time

SCHEDULE : Monday - Friday, Daytime Hours Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Comprehensive Benefits Package What Will You Do?

This position performs revenue cycle duties including but not limited to: Processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims and collecting payment on outstanding patient balances. Example of daily responsibilities includes: Perform duties for revenue operations department related to either medical insurance billing, collections, or patient access. Communicate with insurance payers to ensure proper insurance coverage for patients or to ensure timely and accurate reimbursement for dialysis services rendered at clinics. Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing. Respond timely and accurately to payer communications. Collaborate with other revenue operations teams to ensure seamless processes across teams. Partner with clinic teammates such as Insurance counselors, social workers, and facility administrators to ensure timely and accurate insurance information. Help identify process changes and opportunities for continuous improvements. Maintain current patient account information at all times. Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies. Other duties could include:

May be asked to work overtime as needed. Attend team meetings, phone conferences, and training as needed. Know, understand, and follow teammate guidelines, employment policies, and department or company procedures. Experience and required skills

No previous healthcare experience is required. Excellent communication skills: (Written & Verbal) . The position involves regular communication with insurance payors, employers, or other teams. Excellent decision-making and problem-solving skills:

Patient account and every insurance payor is different. The ability to think through a situation and carefully identify the best action to take is critical to be successful in this role. Ability to adapt quickly and manage stress:

Our environment can change quickly on a daily basis. Adapting and managing stress is important for success. Relationship Building:

Working in teams and with other departments is central to this position. Minimum Qualifications

High school diploma or equivalent. Basic computer skills and proficiency in MS Word, Excel, and Outlook. Training provided by DaVita:

Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states. Knowledge of medical billing and reimbursement practices. Usage of DaVita billing and reimbursement systems. Basic medical reimbursement terminology. Basic knowledge of healthcare reimbursement accounting principles. DaVita offers:

Flexible scheduling. Fun and positive work environment. Competitive 'pay for performance' pay structure. Generous PTO and comprehensive benefits package. Here is what you can expect when you join our Village:

A 'community first, company second' culture based on Core Values that really matter. Clinical outcomes consistently ranked above the national average. Award-winning education and training across multiple career paths to help you reach your potential. Performance-based rewards based on stellar individual and team contributions. A comprehensive benefits package designed to enhance your health, your financial well-being, and your future. Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation. Our Core Values

Service Excellence. Integrity. Team. Continuous Improvement. Accountability. Fulfillment. Fun. To apply, visit our careers page at

careers.davita.com What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings. 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.

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