Revenue Specialist I
Employment Information
Job Description
Revenue Specialist performing revenue cycle duties including managing billing and collections for DaVita clinics. Ensuring timely and accurate insurance claims submissions and maintaining patient account information
Responsibilities:
- Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
- Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
- Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing
- Respond timely and accurately to payer communications
- Collaborate with other revenue operations teams to ensure seamless processes across teams
- Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information
- Help identify process changes and opportunities for continuous improvements
- Maintain current patient account information at all times
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
Requirements:
- Excellent communication skills: (Written & Verbal)
- Excellent decision making and problem-solving skills
- Ability to adapt quickly and manage stress
- Relationships Building: Working in teams and with other departments is central to this position
- High school diploma or equivalent
- Basic computer skills and proficiency in MS Word, Excel, and Outlook
- Training provided by DaVita: Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
- Knowledge of medical billing and reimbursement practices
- Usage of DaVita billing and reimbursement systems
- Basic medical reimbursement terminology
- Basic knowledge of healthcare reimbursement accounting principles
Benefits:
- Flexible scheduling
- Fun and positive work environment
- Competitive “pay for performance” pay structure
- Generous PTO and comprehensive benefits package
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