POSTING DATE

08/21/2025
5200 Virginia Way, Brentwood, Tennessee, 37027, United States of America
The Government Payor Alliance (GPA) Team is dedicated to maximizing revenue and advancing patient advocacy through strategic public policy monitoring, data-driven analysis, and effective issue resolution. This role will support the Escalation Manager in researching and resolving complex revenue challenges. The position also plays a key role in supporting internal teams by identifying compliance risks, facilitating problem-solving, and coordinating efforts across Revenue Operations (ROPS) and external partners.

ESSENTIAL BEHAVIORS & SKILLS:

• Communication & Collaboration: Builds strong relationships and communicates clearly.
• Analytical Thinking: Applies critical thinking and problem-solving skills to address billing complexities.
• Independence & Teamwork: Works effectively both independently and as part of a team.
• Detail-Oriented: Demonstrates attention to detail.
• Adaptability: Maintains flexibility and focus in the face of shifting priorities.
• Self-Driven Professionalism: Operates with minimal supervision, maintains strong documentation, and upholds a high standard of professionalism.

MINIMUM QUALIFICATIONS:

• Must be an RS III or above to apply.
• 2+ years current internal Revenue cycle experience with a proficient understanding of Medicare, Medicaid, Advantage, Managed and DSNP billing and reimbursement.
• High School Diploma or equivalent required.
• Proficiency in Microsoft Word, Excel, Teams, and Outlook for data management and communication.

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.

• Collaborate with management to develop, document, and implement action plans to address revenue-related issues.
• Identify payer trends and root causes of billing or claim exceptions; take steps to resolve or escalate to minimize bad debt.
• Apply policies related to escalations and take appropriate business actions.
• Escalate issues as necessary and provide thoughtful recommendations.
• Support the resolution of issues related to government payor billing and collections.
• Assist with documentation of reimbursement issues and related data.
• Ensure accurate recordkeeping and compliance with regulatory guidelines.
• Demonstrated analytical and problem-solving skills to investigate complex issues.
• Communicate effectively and maintain positive interactions with partner teams.
• Attend team meetings, phone conferences, and training sessions as required.
• Exhibit consistent, regular, and punctual attendance; overtime may be required to complete critical tasks.
• Uphold DaVita’s core values in all professional responsibilities.
• Follow teammate guidelines, employment policies, and department or company procedures.
• Perform other duties as assigned to support Revenue Operations initiatives.