Revenue Specialist II, ROPS

Posting Date

SCHEDULE: Monday - Friday, Daytime Hours!

This position ensures proper Billing Setup, coordination and communication for all new and existing DaVita Dialysis centers. This team safeguards the data and ensures it is accurate and current for appropriate billing setup. We work closely with many different teams throughout the Village. We primarily confirm certification for Medicare and Medicaid Government Programs. In addition, we are responsible for Manual Charge Entry prior to Snappy Go-Live & ERA Setup. This position also develops, maintains, and communicates information relative to the day-to-day operations.

Duties and Responsibilities:

* Establish Reimbursement Operations infrastructure for new centers; provide timely communications to functional areas

* Consistent Follow-up as liaison between our ROPS team and License & Certification Team

* Communicate Medicare and Medicaid provider numbers or issues to appropriate departments

* Obtain, verify, and submit information for new provider set-up in billing system

* Collect, verify, and enter demographic and insurance information for patients in acquired centers into appropriate systems

* Provide analyses as needed including Accounts Receivable for potential acquisitions

* Maintain internal tracking tools and assist in developing process improvement initiatives * Complete Medicare/Medicaid applications for Electronic Data Interchange, Claims, Electronic Funds Transfer, and Electronic Remit Advice

* Obtain data for manual charge capture, import and reporting

* Researches and resolves Medicare, Medicaid issues, with a concentration on root cause analysis.

* These issues should be tracked through the Remedy ticketing system and followed up in a consistent manner

* Provides reporting data to management and other teammates as needed

* Performs additional process reviews as directed by the Acquisition/Integration Manager & Supervisor; identifies opportunities for improvement and implements changes as directed

* Maintains current knowledge of all applicable department and company policies and processes; maintains current knowledge of all applicable billing and A/R-related systems

* UAT Test billing system enhancements prior to implementation

* Able to think outside of the box for solutions to complex problems

* Collaborates with other ROPS teams, Compliance, IT, GPA, and Legal Teams as necessary to resolve issues

* Manages projects that arise as a result of various initiatives

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

* Work overtime with little or no notice as needed

* Attend team meetings, phone conferences, and training as needed

* Know, understand, and follow teammate guidelines, employment policies, and department or company procedures

* Maintains current knowledge of all applicable department and company policies and processes; maintains current knowledge of all applicable billing and A/R-related systems

* Able to think outside of the box for solutions to complex problems

* Collaborates with other ROPS teams, Team Accela Lanes, Setup Lanes, Compliance, IT,GPA, and Legal Teams as necessary to resolve issues Revenue Specialist II, Team Action (Malvern)

* Manages projects that arise as a result of various initiatives

Other duties and responsibilities as assigned include but not limited to:

* Work overtime with little or no notice as needed

* Attend team meetings, phone conferences, and training as needed

* Know, understand, and follow teammate guidelines, employment policies, and department or company procedures

* Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position Minimum Qualifications

Requirements:

* High school diploma or equivalent required

* Associate's degree in related areas preferred

* Detail oriented and very organized

* Minimum of one year of project management experience

* Intermediate skills in electronic billing systems

* Minimum of one (1) year of healthcare collections and medical billing, insurance verification, or related experience

* Intermediate computer skills and proficiency in MSWord, Excel, PowerPoint, Access, and Outlook required

* Full Time Position (40 hours minimum)

* Minimum of one year (1) year of experience demonstrating strong problem solving skills, critical thinking and root cause analysis

* Aligned within DVA Core Values and Mission

To learn more about us and explore our nationwide opportunities check out our website at http://careers.davita.com!

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.

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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 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 comply with state and federal affirmative action requirements. 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.

This position will be open for a minimum of three days.

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. 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

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.