Note: The job is a remote job and is open to candidates in USA. DaVita Kidney Care is hiring a Revenue Specialist II for its billing systems setup team in the Revenue Operations Department. The role supports revenue cycle operations by setting up payer and insurance information in billing systems, resolving revenue issues, and improving processes to support accurate billing and reimbursement.

Responsibilities

• Research and input system architecture changes for insurance setup objects in support of generating revenue and claims for billing
• Implement and resolve highly complex payer contract requirements into DaVita’s systems
• Respond to internal teams’ inquiries on contract, revenue, plan management and billing attributes
• Perform duties for the revenue operations department related to either contract management, revenue management or insurance plan management including billing templates (i.e. UB04, HCFA 1500)
• Communicate with insurance payers to understand network coverage, relationships and contract terms to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
• Process payer, partner and customer requests to ensure center and payer information is loaded into the billing system for accurate billing including single patient agreements
• Respond timely and accurately to payer communications and bulletins
• Collaborate with other revenue operations teams to ensure seamless processes across teams
• Help identify process changes and opportunities for continuous improvements
• Always maintain current system setup attributes, including new technology, and charge master items
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Understand how setup objects/contract/payer requirements and system logic tie together in the billing system by collecting, analyzing, interpreting and summarizing data from source systems
• Attend team meetings, phone conferences, and training as scheduled
• May be asked to work overtime as needed
• Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Skills

• High School Diploma or equivalent required
• 2 years of healthcare experience in Revenue Operations or experience working with a variety of health care insurance payers
• Experience with using Microsoft Word, Excel, Access and Outlook
• Excellent communication skills: (Written & Verbal)
• The position involves regular communication with insurance payers, internal teams, and customers
• Excellent decision making and problem-solving skills:
• The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role
• Ability to adapt quickly and manage stress:
• Adapting and managing stress is important for success
• Relationships Building: Working in teams and with other departments is central to this position

Benefits

• Hybrid and remote position available.
• All necessary equipment is provided.
• Eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more.
• Professional development programs to help strong performers grow within their career, plus on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
• Learning and development programs help guide your career journey.

Company Overview

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