Revenue Specialist I – Appeals, Denials

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

📋 Description

• Establish and nurture relationships with insurance providers.

• Retrieve payments from insurance companies for outstanding patient accounts.

• Investigate and resolve problematic accounts as necessary.

• Optimize collections to meet performance targets.

• Research and address accounts on behalf of patients.

• Utilize phone, email, and insurance carrier portals to reach resolutions.

• Detect trends and conduct root cause analysis on unpaid and underpaid claims.

• Investigate, appeal, and rectify claim rejections, underpayments, and denials with the relevant insurance payer.

• Cultivate and sustain positive working relationships with clinical staff, colleagues, and insurance representatives.

⛳️ Requirements

• Experience with denials and appeals is preferred.

• Candidates must be available to work PST hours.

• A high school diploma or GED is required.

• An Associate's or Bachelor’s degree is highly preferred.

• Strong research and problem-solving abilities, utilizing analytical and critical thinking skills.

• Experience in healthcare and medical billing/collections is preferred.

• Intermediate proficiency in Microsoft Office, including Word, Excel, and Outlook.

• Proven track record of resolving complex issues.

• Strong commitment to teamwork values.

🏝️ Benefits

• A vibrant, relationship-focused culture driven by patients and team members.

• Employment with a stable company, recognized as the largest independent provider of dialysis services in the nation.

• Access to award-winning training, as recognized by Training Magazine's Top 125.

• Opportunities for diverse career paths across cutting-edge modalities.

• Recognition for your outstanding performance.

• Exceptional benefits, including one of the most generous profit-sharing programs in the healthcare industry.

• Comprehensive medical, dental, vision, 401(k) matching, paid time off, and PTO cash out options.

• Family support resources.

• EAP counseling sessions available.

• Access to Headspace ® for mindfulness resources.

• Backup care for children and elders.

• Maternity and paternity leave policies.

• Opportunities for professional development programs.

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