Revenue Lead, ROPS

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

📋 Description

• Conduct research and resolve complex collection account balances in accordance with DaVita’s policies, procedures, and applicable federal and state billing regulations.

• Analyze weekly and monthly key performance metrics to pinpoint trends and areas needing attention.

• Create, document, and execute action plans in collaboration with Management.

• Recognize payer trends and investigate root causes of billing or claim discrepancies, addressing or escalating issues to minimize bad debt.

• Assess and implement appropriate business actions when policies are unclear or non-existent.

• Elevate issues and offer recommendations for resolution.

• Serve as a resource for teammates regarding inquiries and challenging payer situations.

• Facilitate training for new team members and conduct both individual and group training sessions.

• Identify opportunities for training that enhance individual and team performance.

• Suggest modifications to collection teams, tools, policies, and procedures.

• Approve close reconciliations and related tasks to ensure timely submission of primary, secondary, and tertiary insurance claims.

• Act as a subject matter expert for close processes.

• Review and authorize adjustments and claims appeals.

• Perform quality assurance evaluations and provide constructive feedback to teammates and management.

• Support departmental initiatives while managing multiple projects simultaneously.

• Stay informed about changes to ESRD and Medicare Secondary Provider laws.

• Attend team meetings, phone conferences, and training sessions as necessary.

• Engage in DaVita village and neighborhood initiatives.

⛳️ Requirements

• High School diploma or equivalent is required.

• Preferred experience of two to four years in healthcare reimbursement and revenue cycle management.

• Intermediate skills in MS Excel, Word, and PowerPoint.

• Strong analytical abilities.

• Capability to manage and lead multiple projects, meet deadlines, and adjust priorities effectively in a fast-paced work environment.

• Positive interaction skills with all levels of the company.

• Ability to uphold confidentiality in alignment with HIPAA regulations and DaVita policies.

• Knowledge of ESRD and Medicare Secondary Provider laws.

• Consistent, regular, and punctual attendance is essential.

• Overtime may be necessary.

• Travel is required, but it is less than 5%.

🏝️ Benefits

• Medical, dental, and vision insurance coverage.

• 401(k) matching program.

• Paid time off.

• PTO cash-out option.

• Resources for family support.

• EAP counseling sessions available.

• Access to Headspace®.

• Backup child and elder care services.

• Maternity and paternity leave.

• Opportunities for professional development.

• On-demand virtual leadership and development courses available through DaVita’s StarLearning online training platform.