Revenue Lead, ROPS Setup

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

📋 Description

• Execute intricate Claim Content, Plan Code evaluation, contract loading, CDM attributes, metadata, and Setup Change Project tasks independently in Nautilus and associated systems.

• Investigate ambiguous requirements and address claim-formatting and system-edit challenges through validation and resolution.

• Raise blockers along with findings and suggested next steps.

• Adhere to DaVita compliance policies, SOX controls, and uphold data integrity standards.

• Document configuration decisions and provide supporting evidence.

• Act as a daily technical resource and mentor Revenue Specialists during onboarding.

• Guide specialists and colleagues through intricate setup tickets.

• Recognize knowledge gaps and sustain SOPs, job aids, and checklists.

• Conduct pre-bill and post-implementation quality assurance and root-cause analysis.

• Utilize Excel functions such as VLOOKUPs, Pivot Tables, and formulas for auditing configurations and tracking aging and error patterns.

• Communicate actionable insights with supervisors.

• Spot rework and workflow inefficiencies.

• Lead or co-lead initiatives for process improvements, test setup modifications, update procedures, and facilitate workflow adoption.

• Collaborate on handoffs and issue resolution with Billing, Collections, IT, Payor Partnerships, and various ROPS Teams.

• Clarify setup impacts, outline next steps, and keep partners informed until completion.

• Exemplify Core Values, engage in empathetic communication, promote a sense of belonging, and support leadership initiatives and projects.

⛳️ Requirements

• High School Diploma or equivalent.

• Proven initiative, independent problem-solving skills, attention to detail, and the ability to manage competing priorities in a remote, highly regulated setting.

• Intermediate proficiency in Excel, including VLOOKUP/XLOOKUP, Pivot Tables, data organization, and formulas.

• Confidence in navigating complex systems.

• Strong written and verbal communication skills.

• Good judgment when dealing with ambiguous requirements.

• Ability to coach peers with patience and empathy.

• Preferred: Associate’s or Bachelor’s degree.

• Preferred: Experience in healthcare revenue cycle, billing system setup, medical claims, or other highly regulated operations.

• Preferred: Experience in an informal leadership, peer training, or mentorship role.

🏝️ Benefits

• Medical, dental, and vision coverage.

• 401(k) match.

• Paid time off.

• PTO cash out.

• Family resources.

• EAP counseling sessions.

• Headspace® access.

• Backup child and elder care.

• Maternity/paternity leave.

• Professional development programs.

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