15271 Laguna Canyon RdSte 100, Irvine, California, 92618-3146, United States of America

This position researches and resolves high complexity collection account balances according to DaVita policies and procedures and compliance with federal and state billing regulations. This position also provides ongoing training and guidance for Specialist Patient Account teammates, and performs data trending analysis, quality assurance reviews and review of key metrics.

SUPERVISORY RESPONSIBILITIES: No

ESSENTIAL DUTIES AND RESPONSIBILITIES

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

Review, weekly and monthly key metrics to identify trends or areas of focus; work with Management to develop, document, and implement action plans to address issues
Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt

Want more jobs like this?

Get jobs in Irvine, CA delivered to your inbox every week.

By signing up, you agree to our Terms of Service & Privacy Policy.

Identify and interpret policies related to exceptions
Determine and apply appropriate business action in absence of policies or in cases of ambiguity
Escalate issues as needed; provide recommendations

Act as resource for teammate's questions and assist with issues of focus and problematic payer issues

Train new teammates

Identify training opportunities to improve individual and team performance; perform one-on-one and group training as needed

Recommend changes on collection teams, tools, policies and procedures

Perform all close reconciliation approvals and related activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert for close

Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts

Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement

Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment. Support department initiatives.

Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changes

Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving

Ability to interact positively with all levels of the company

Maintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policies

Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures

• Other duties and responsibilities as assigned including but not limited to:

Consistent, regular and punctual attendance as scheduled
Overtime may be required to ensure timely completion of tasks and required duties
Attend team meetings, phone conferences, and training as needed
Know, understand, and follow department or company procedures
Embrace the DaVita culture by actively participating in village and neighborhood initiatives
Demonstrate DaVita's core values in all aspects of your role
Less than 5% travel required

MINIMUM QUALIFICATIONS

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

High School diploma or equivalent required
Two to four years' experience in healthcare reimbursement and revenue cycle management preferred
Intermediate proficiency in MS Excel, Word and PowerPoint

ESSENTIAL BEHAVIORS, SKILLS AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION:

Commitment to DaVita's values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Partners) in everyday performance and interactions

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more

Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-TT1

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
$20.50 - $27.00 / 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

Revenue Lead, ROPS

Revenue Lead, ROPS

Want more jobs like this?

Search Additional Jobs