Business Analyst, ROPS

This is a fully remote position, open to applicants in California.

📋 Description

• Initiate and sustain communication with facilities to gather patient insurance coverage details.

• Input and refresh insurance data in billing and patient registration systems.

• Confirm patient insurance eligibility and benefits for outpatient kidney dialysis.

• Collaborate with Patient Referral Coordinators to secure registration documentation.

• Work alongside facilities and the Insurance Management Team to address incomplete registrations.

• Analyze registration denials to identify underlying issues.

• Correct patient account discrepancies leading to registration denials.

• Suggest process improvements to avert failed registrations.

• Ascertain Coordination of Benefits and keep patient account information current.

• Submit internal requests to ensure precise and prompt claims submission.

• Complete ancillary reports and assigned projects within specified timeframes.

• Assist Patient Account Representatives and fellow ROPS team members.

• Uphold confidentiality in compliance with HIPAA regulations and DaVita policies.

• Participate in meetings, phone conferences, and training sessions as necessary.

• Be available for overtime work with minimal notice as required.

• Maintain consistent, regular, and punctual attendance as scheduled.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• Preferably three years of healthcare reimbursement experience.

• Experience in admissions, billing, and collections is advantageous.

• Familiarity with insurance rules, regulations, and Coordination of Benefits for federal, state, and managed care payors across multiple states is preferred.

• Basic computer proficiency is required.

• Required proficiency in MS Word, Excel, and Outlook.

• Ability to maintain confidentiality in line with HIPAA regulations.

• Consistent, regular, and punctual attendance as scheduled is required.

• Capability to work overtime with little or no prior notice when necessary.

🏝️ Benefits

• Community-first, company-second culture rooted in Core Values.

• Award-winning education and training opportunities across various career paths.

• Performance-based incentives reflecting individual and team contributions.

• Comprehensive benefits package.

• Medical, dental, and vision insurance coverage.

• 401(k) matching program.

• Paid time off.

• PTO cash out option.

• Family resources available.

• EAP counseling services.

• Access to Headspace® for mental wellness.

• Backup care for children and elders.

• Maternity and paternity leave.

• Professional development initiatives.

• On-demand virtual leadership and development courses available through StarLearning.