Revenue Specialist II - Patient Resources

at  DaVita

15271 Laguna Canyon RdSte 100, Irvine, California, 92618-3146, United States of America
SCHEDULE: Monday - Friday
Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Comprehensive Benefits Package

EXPERIENCE AND REQUIRED SKILLS

• No previous healthcare Experience is required
• Excellent critical thinking and problem-solving skills: Every patient account and every insurance payor offers its own set of unique challenges. The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role
• Strong communication and interpersonal skills: The position involves regular communication with insurance payors, as well as relationship building and interaction with other teammates
• Ability to adapt quickly: Our environment can change quickly on a daily basis. Adapting and demonstrating resiliency are key.
• Ownership: Teammates in this position will own a book of business. With some support of their leadership, teammates in this role should demonstrate drive and initiative to work through their queue.
• Creating a Special Place: Understands and embraces the DaVita culture.

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, collecting payment on outstanding patient balances, and resolving credits when overpayments are received from payers and refunds need to be issued.

EXAMPLE OF DAILY RESPONSIBILITIES INCLUDES:

• Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage
• 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
• 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