Senior Analyst, Business – ROPS
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Job Description
Regional Registration Specialist at DaVita validating patient insurance information and ensuring accurate claims submission. Collaborating with facilities and managing patient registrations across dialysis centers in a geographic region.
Responsibilities:
- Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information
- Enter insurance information into billing system
- Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis
- Update Patient Registration and associated systems accurately and as required
- Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration
- Partner with facility and Insurance Management Team to resolve incomplete registrations
- Review registration denials received to determine root cause
- Resolve patient account errors that cause registration denials
- Help identify process changes to prevent failed registrations
- Determine Coordination of Benefits as required; maintain current patient account information at all times
- Follow-up as necessary to ensure insurance changes are verified and line of coverage is reset
- Submit internal requests, including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc., to ensure accurate and timely claims submission to the correct payor
- Complete all ancillary reports and assigned projects within established timeframes
- Support Patient Account Representatives and other ROPS teammates as needed
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
- Other duties and responsibilities as assigned
Requirements:
- High school diploma or equivalent required
- Minimum of three (3) years' healthcare reimbursement experience preferred; experience with admissions, billing, and collections preferred
- Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
- Basic computer skills and proficiency in MS Word, Excel, and Outlook required
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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