Revenue Specialist III – Credits
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Job Description
Revenue Specialist analyzing payor behavior and resolving credit issues at scale for DaVita, a leading kidney care provider in the U.S. Collaborating with teams to eliminate systemic credit inflow
Responsibilities:
- Analyze high-volume payor trends
- Identify upstream issues causing credit inflow
- Partner with cross-functional teams to resolve payment misalignments
- Serve as primary ROPS representative in discussions with payor partners
- Present data-backed findings to payors and internal stakeholders
- Partner closely with internal teams to address upstream drivers of credit inflow
- Formulate and execute “bulk” resolution strategies
- Manage multiple projects for targeted payors/financial classes
- Utilize Tableau, Excel, and internal billing systems to monitor inventory
Requirements:
- High school diploma or equivalent
- Strong critical thinking and problem-solving skills
- Creative thinker who embraces trying new approaches
- Intermediate Excel skills
- Attention to detail
- Strong written and verbal communication skills
- Adaptable and agile – Able to operate in a fast-paced environment
- Ability to synthesize complex data into clear narratives
- Navigate ambiguity and drive alignment across multiple stakeholders
- Knowledge of insurance rules and regulations (Medicare Advantage, Medicaid, Commercial, etc)
- Experience with DaVita revenue cycle systems (Nautilus, CAT, Reggie, etc.)
- Experience reading and interpreting payor contracts and explanation of benefits (EOBs)
Benefits:
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
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