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Revenue Operations Specialist

2 months ago

Irvine, California, United States TRC Total Renal Care Inc Full time
Job Summary

We are seeking a highly skilled Revenue Operations Specialist to join our team at TRC Total Renal Care Inc. As a key member of our revenue cycle team, you will play a critical role in driving revenue growth and improving operational efficiency.

Key Responsibilities
  • Assist in the preparation of estimating net revenues and analyzing fee-for-service collection trending.
  • Work in a consultative capacity to identify and implement process, technology, and training initiatives to support the accurate and timely billing and collection of accounts receivable.
  • Provide analytical support to and develop tools for company operations to enhance their skills in detecting both current and future performance issues.
  • Perform research on best practices and standards in the revenue cycle for the healthcare industry to assist in standardization of goal setting and performance monitoring.
  • Develop and manipulate large data sets as well as analyze data groups to assist in the development and implementation of process improvement strategies.
  • Understand knowledge of 837/EDI process including payer specific rules.
  • Assist in auditing all electronic reports and paper claims and make corrections when necessary.
  • Ensure accessibility and flow of performance information to all relevant parties; work to prevent or address data transmission issues.
  • Analyze financial and revenue cycle performance data to identify trends, patterns, and root causes.
Requirements
  • Seven years of relevant healthcare claims experience with identifying insurance underpayments and revenue recovery.
  • Highly analytical with excellent reconciliation experience and sound accounting working knowledge.
  • Must be familiar with commercial and government healthcare reimbursement methodologies.
  • Strong knowledge of hospital billing and managed care.
  • Must have strong technical skills, advanced Excel.
  • Excellent verbal and written communication skills.
Preferred Qualifications
  • Seven year plus experience in health care finance, reimbursement, public or other accounting, auditing, budget, compliance, billing or insurance required with progressive responsibility in analysis and project management.
  • Significant knowledge of reimbursement rules, regulations, and accounting and auditing theory is assumed.
  • Assumes working knowledge in the field of health care, including experience with billing, coding, and working with clinicians.
  • Assumes prior project management experience, and assumes ability to work independently.
  • Excellent communication and systems skills.
What We Offer
  • 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 to 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.