Revenue Specialist II – Revenue Setup

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

📋 Description

• Conduct research and implement modifications to system architecture for insurance setup objects, facilitating revenue generation and claims processing for billing.

• Integrate and address intricate payer contract specifications within DaVita’s systems.

• Provide responses to inquiries from internal teams regarding contracts, revenue, plan management, and billing attributes.

• Execute responsibilities within the revenue operations department pertaining to contract management, revenue management, or insurance plan management, which includes creating billing templates.

• Engage with insurance payers to grasp network coverage, relationships, and contract details to guarantee prompt and precise reimbursement for dialysis services delivered at our clinics.

• Manage requests from payers, partners, and customers to ensure accurate loading of center and payer data into the billing system, including single patient agreements.

• Respond promptly and accurately to communications and bulletins from payers.

• Collaborate with other teams in revenue operations to ensure efficient processes across departments.

• Assist in identifying process improvements and opportunities for ongoing enhancements.

• Consistently update system setup attributes, which includes new technology and charge master items.

• Uphold the confidentiality of all company and patient data in compliance with HIPAA regulations and DaVita policies.

• Comprehend how setup objects, contract requirements, payer specifications, and system logic interconnect within the billing system by gathering, analyzing, interpreting, and summarizing data from source systems.

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

• May be required to work overtime as needed.

⛳️ Requirements

• A High School Diploma or equivalent is mandatory.

• A minimum of 2 years of experience in healthcare, specifically in Revenue Operations or interacting with various healthcare insurance payers.

• Proficiency in Microsoft Word, Excel, Access, and Outlook is required.

• Strong communication abilities, both written and verbal.

• Exceptional decision-making and problem-solving capabilities.

• Capacity to adapt swiftly and manage stress effectively.

• Relationship building is crucial: Collaboration with teams and other departments is integral to this role.

🏝️ Benefits

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

• Support for you and your family: Resources for families, EAP counseling sessions, access to Headspace®, backup childcare and eldercare, maternity/paternity leave, and more.

• Opportunities for professional development: DaVita provides various programs to assist high performers in advancing their careers and offers on-demand virtual leadership and development courses through DaVita’s online training platform, StarLearning.