Revenue Specialist I
1 month ago
We are seeking a highly skilled Revenue Specialist I to join our team in Tacoma, Washington. As a key member of our revenue cycle team, you will be responsible for processing patient insurance information, verifying patient eligibility, and ensuring timely and accurate claims submission.
Key Responsibilities- Initiate and maintain ongoing communication with facilities to ensure timely receipt of patient insurance coverage information.
- 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 to obtain required documentation for successful patient registration.
- Partner with facility and Insurance Management Team to resolve incomplete registrations.
- 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.
- Submit internal requests, including RCUs, SMARTFORMS, PCS Inquiries, and SPA Requests, to ensure accurate and timely claims submission.
- Complete all ancillary reports and assigned projects within established timeframes.
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies.
- High school diploma or equivalent required.
- Basic computer skills and proficiency in MS Word, Excel, and Outlook required.
- Minimum of three (3) years' healthcare reimbursement experience preferred; experience with admissions, billing, and collections required.
- Demonstrated knowledge of insurance rules, regulations, and Coordination of Benefits for federal, state, and/or managed care payors in multiple states required.
- Comprehensive benefits, including medical, dental, vision, 401(k) match, paid time off, and PTO cash out.
- Support for you and your family, including family resources, EAP counseling sessions, access to Headspace, backup child and elder care, maternity/paternity leave, and more.
- Professional development programs, including DaVita's online training platform, StarLearning.
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as 'a place where I belong.' Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer.
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