Revenue Specialist III

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

📋 Description

• Conduct research and implement changes to system architecture for insurance setup objects to support revenue generation and claims for billing.

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

• Address inquiries from internal teams regarding contracts, revenue, plan management, and billing attributes.

• Perform tasks within the revenue operations department related to contract management, revenue management, or insurance plan management, including billing templates (e.g., UB04, HCFA 1500).

• Engage with insurance payers to grasp network coverage, contractual relationships, and terms to ensure prompt and accurate reimbursements for dialysis services provided at our clinics.

• Process requests from payers, partners, and customers to ensure accurate billing by loading center and payer information into the billing system, including single patient agreements.

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

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

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

• Consistently maintain up-to-date system setup attributes, including new technologies and charge master items.

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

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

• Attend scheduled team meetings, phone conferences, and training sessions.

• May be required to work overtime as necessary.

• Be knowledgeable about and adhere to teammate guidelines, employment policies, and departmental or company procedures.

⛳️ Requirements

• High School Diploma or equivalent is mandatory.

• A minimum of 2 years of experience in healthcare revenue operations or with various healthcare insurance payers is required.

• Proficient in using Microsoft Word, Excel, Access, and Outlook.

• Strong communication skills: both written and verbal.

• Excellent decision-making and problem-solving abilities.

• Capability to adapt swiftly and manage stress effectively.

• Demonstrated ability in relationship building.

🏝️ Benefits

• Comprehensive benefits package: 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 child and elder care, maternity/paternity leave, and more.

• Professional development opportunities: DaVita offers various programs to assist high performers in advancing their careers, along with on-demand virtual leadership and development courses via DaVita’s online training platform, StarLearning.