Revenue Specialist I, ROPS- Claims/Collections

at  DaVita

2476 Swedesford RdSTE 150, Malvern, Pennsylvania, 19355-1456, United States of America
Job Description
We are currently seeking and interviewing ambitious and team-oriented, analytically-minded individuals who enjoy problem-solving and researching in a fast-paced and FUN work environment!
DaVita is currently looking for a Revenue Specialist. Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking “outside the box”. In this role you will develop and maintain relationships with insurance companies. Acting on behalf of DaVita you will collect payment from insurance companies on outstanding patient balances, research and resolve problem accounts as needed, and maximize collections to achieve collection performance goals.
With DaVita, you have the chance to work hard, be competitive, and have FUN doing it. AND you’ll never have to wear a tie again!

• Identify trends and perform root cause analysis on unpaid and underpaid claims
• Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor
• Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives
• High school diploma or GED, required
• Associates or Bachelor’s degree, highly preferred
• Ability to research and problem solve, using analytical and critical thinking skills
• Healthcare and medical billing/collections experience is preferred
• Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook
• Demonstrated history of resolving challenging issues
• Deeply built values of TEAM