Sr. Collector Needed, Healthcare Revenue Operations

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

Sr. Revenue Cycle Specialist: Collections, Special Projects (remote)

Are you seeking a workplace that embodies core values like TEAM and FUN? Do you want your efforts to contribute meaningfully while advancing your career in healthcare? If so, consider joining our dynamic team, where we prioritize personal and professional growth, and where your work directly impacts the lives of our patients.

DaVita is expanding its Senior Insurance Collections Team with a focus on Special Projects. This role is pivotal in maximizing reimbursement from diverse insurance plans by resolving complex denials, short payments, billing errors, and other claim issues.

• Manage assigned lists of outstanding claim balances and patient accounts, addressing complex issues across various payers and patient profiles.
• Identify trends, conduct follow-up, and conduct root cause analysis on unpaid and underpaid insurance claims from diverse payers.
• Take appropriate actions to remediate outstanding balances in accordance with established policies and procedures, including thorough research, appeals, rebilling, securing insurance authorizations or referrals, correcting coding errors, and engaging in direct communication with payers or clinics.
• Resolve issues related to coordination of benefits (COB), demographic discrepancies, insurance eligibility, authorizations, and referrals as necessary.
• Handle patient benefit-related denials, verifying plan requirements via phone, assessing financial risks, and addressing other factors affecting reimbursement.
• Navigate through various payer systems, provider portals, and internal DaVita applications to ensure prompt and accurate resolution of claims.
• Regularly communicate with payers, employers, and patients to facilitate resolution.
• Cultivate strategic business relationships with internal and external partners, such as the Billing & Coding Team, Registration Department, Credit Department, clinical teammates, and payers.
• Utilize exceptional organizational, written, and verbal communication skills to maintain detailed documentation of research findings and actions taken on claims.
• Uphold strict confidentiality standards for all company and patient information in compliance with HIPAA regulations and DaVita policies.

• Standard 8-hour shift with the possibility of overtime; operating within regular business hours, Monday through Friday.

• Required: Highschool diploma or equivalent; Preferred: associate or bachelor's degree

• 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.