Revenue Specialist III

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

📋 Description

• Assist in the preparation of net revenue estimations.

• Analyze trends in fee-for-service (FFS) collections.

• Operate in a consultative role to identify and implement initiatives in processes, technology, and training to ensure the accurate and timely billing and collection of accounts receivable.

• Provide analytical support and develop tools for company operations, enhancing their capabilities in identifying both current and future performance issues.

• Conduct research on best practices and standards within the healthcare revenue cycle to aid in the standardization of goal-setting and performance monitoring.

• Develop and manipulate large datasets, analyzing data groups to support the development and implementation of strategies for process improvement.

• Possess a solid understanding of the 837/EDI process, including payer-specific regulations.

• Assist in auditing all electronic reports and paper claims, making corrections as necessary.

• Ensure the accessibility and flow of performance information to all relevant parties, working to prevent or address data transmission issues.

• Analyze financial and revenue cycle performance data to identify trends, patterns, and root causes.

⛳️ Requirements

• A minimum of seven years of relevant experience in healthcare claims, particularly in identifying insurance underpayments and revenue recovery.

• Highly analytical with strong reconciliation experience and a solid foundation in accounting.

• Familiarity with both commercial and government healthcare reimbursement methodologies is required.

• Strong understanding of hospital billing and managed care processes.

• Highly organized with the initiative to work independently.

• Knowledge of AWP pricing regulations.

• Experience in pharmacy and major medical healthcare billing.

• Proficient in telephone and email communication.

• At least three years of experience in data or financial analysis.

🏝️ Benefits

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

• Support for you and your family, including family resources, EAP counseling sessions, access to Headspace®, backup childcare and elder care, maternity/paternity leave, and more.

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