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Revenue Operations Specialist

2 months ago

Irvine, California, United States Medix Full time
{"Overview":{"text":"Revenue Specialist Role at Medix

We are seeking a skilled Revenue Specialist to join our team at Medix. As a key member of our Revenue Operations Department, you will play a critical role in ensuring the smooth operation of our revenue cycle.

","subtitles":["Key Responsibilities","Requirements"]},"Key Responsibilities":{"text":"
  • Process patient insurance information through the patient intake process.
  • Collect payment on outstanding patient balances.
  • Resolve credits when over payments are received from payers and refunds need to be issued.
  • Communicate with insurance payers to ensure proper insurance coverage for our patients.
  • Respond timely and accurately to payer communications.
  • Collaborate with other revenue operations teams to ensure seamless processes across teams.
  • Partner with clinics teammates 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.
","subtitles":["Daily Responsibilities","Other Duties"]},"Daily Responsibilities":{"text":"
  • Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage.
  • Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics.
  • Respond timely and accurately to payer communications.
  • Collaborate with other revenue operations teams to ensure seamless processes across teams.
  • Partner with clinics 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.
","subtitles":["Requirements","Training Provided"]},"Requirements":{"text":"
  • No previous healthcare experience is required.
  • Excellent critical thinking and problem-solving skills.
  • Strong communication and interpersonal skills.
  • Ability to adapt quickly.
  • Ownership.
  • Creating a Special Place.
","subtitles":["Training Provided"]},"Training Provided":{"text":"
  • 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 billing and reimbursement systems.
  • Basic medical reimbursement terminology.
  • Basic knowledge of healthcare reimbursement accounting principles.
","subtitles":[]}