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RCM Revenue Specialist III (Insurance Verification/denials/claims)

AT DaVita
DaVita

RCM Revenue Specialist III (Insurance Verification/denials/claims)

Brentwood, TN

5200 Virginia Way, Brentwood, Tennessee, 37027, United States of America

What Will You Do?

This position performs revenue cycle duties including but not limited to:

Researching patient insurance and demographic information for accuracy, responding to billing vendor questions on patient accounts, reviewing and reconciling insurance billing issues.

Open to Teammates across the U.S.

RCM experience highly preferred

Insurance verification experience preferred.

Example of daily responsibilities includes:

  • Perform duties for revenue operations related to either medical insurance coverage accuracy, or working with billing vendor to resolve credits on accounts
  • Research to find patient insurance and demographic information (multiple online sites) and sharing information with billing vendor
  • Communicate with billing vendor to ensure proper insurance coverage for our patients
  • Respond timely and accurately to billing vendor requests
  • Resolving credits when overpayments are received from payers and refunds need to be issued.
  • Collaborate with other revenue operations teams to ensure seamless processes across teams
  • 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:

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  • 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
Experience and required skills
  • Previous medical billing revenue cycle experience: An in-depth understanding of full-cycle revenue is required. From patient demographics/insurance to charge posting, payments received, account adjustments and final resolution of patient accounts is necessary.
  • 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 billing vendor, 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
Training provided by DaVita:
  • Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
  • Knowledge of medical billing and reimbursement practices
  • Usage of DaVita billing and reimbursement systems
  • Basic medical reimbursement terminology
  • Basic knowledge of healthcare reimbursement accounting principles
#LI-RH1

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

Applications are accepted on an ongoing basis.

Salary/ Wage Range
$20.00 - $30.50 / hour

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Client-provided location(s): Brentwood, TN, USA
Job ID: DaVita-R0374235
Employment Type: Full Time