Revenue Specialist I, ROPS

at  DaVita

5200 Virginia Way, Brentwood, Tennessee, 37027, United States of America
SCHEDULE: Monday - Friday, Daytime Hours!
Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Comprehensive Benefits Package

EXPERIENCE AND REQUIRED SKILLS

• No previous healthcare Experience is required
• Excellent communication skills: (Written & Verbal). The position involves regular communication with insurance payors, employers, or other teams.
• Excellent decision making and problem-solving skills: Patient account and every insurance payor is different. 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: Our environment can change quickly on a daily basis. Adapting and managing stress is important for success
• Relationships Building: Working in teams and with other departments is central to this position

MINIMUM QUALIFICATIONS

• High school diploma or equivalent
• Basic computer skills and proficiency in MS Word, Excel, and Outlook

WHAT WILL YOU DO?

This position performs revenue cycle duties including but not limited to:
processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances

EXAMPLE OF DAILY RESPONSIBILITIES INCLUDES:

• Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
• 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
• Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing
• 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

OTHER DUTIES COULD INCLUDE:

• May be asked to work overtime as needed
• Attend team meetings, phone conferences, and training as needed
• Know, understand and follow teammate guidelines, employment policies, and department or company procedures