Senior Analyst, Business – ROPS

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

📋 Description

• Establish and maintain communication with facilities to guarantee the timely and accurate collection of patients' insurance coverage details.

• Input insurance information into the billing system.

• Confirm patient insurance with payors, including eligibility and benefits concerning outpatient kidney dialysis.

• Accurately update Patient Registration and associated systems.

• Collaborate with Patient Referral Coordinators to gather necessary documentation for patient registration.

• Work alongside facilities and the Insurance Management Team to address incomplete registrations.

• Analyze registration denials and identify root causes.

• Correct patient account discrepancies leading to registration denials.

• Assist in recognizing process improvements to avert failed registrations.

• Establish Coordination of Benefits and keep patient account information current.

• Follow up to confirm insurance modifications and reset lines of coverage.

• Submit internal requests, including RCUs, SMARTFORMS, PCS Inquiries, and SPA Requests, to ensure accurate and timely claims submission.

• Complete ancillary reports and assigned projects within designated timeframes.

• Provide support to Patient Account Representatives and other ROPS team members.

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

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

• Execute other assigned responsibilities.

⛳️ Requirements

• A high school diploma or equivalent is required.

• A minimum of three (3) years of experience in healthcare reimbursement is preferred.

• Experience with admissions, billing, and collections is preferred.

• Familiarity with insurance rules, regulations, and Coordination of Benefits for federal, state, and managed care payors across multiple states is preferred.

• Basic computer skills are necessary.

• Proficiency in MS Word, Excel, and Outlook is required.

• Ability to maintain confidentiality as per HIPAA regulations and DaVita policies.

• Consistent, regular, and punctual attendance is expected as scheduled.

• Willingness to work overtime with little or no notice as required.

🏝️ Benefits

• A culture that prioritizes community first, company second, grounded in Core Values.

• Award-winning education and training opportunities across various career paths.

• Performance-based rewards reflecting individual and team contributions.

• Comprehensive benefits package.

• Coverage for medical, dental, and vision needs.

• 401(k) matching.

• Paid time off.

• PTO cash out options.

• Family resources available.

• EAP counseling sessions provided.

• Access to Headspace.

• Backup child and elder care services.

• Maternity/paternity leave offered.

• Professional development programs available.

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