Revenue Specialist III, ROPS

Posting Date

Excited to grow your career?

DaVita is currently looking for a Sr. Credit Balance Specialist for our Revenue Operations Department. Individuals who excel in this role are highly ambitious, results driven, and willing to "think outside the box." This position requires a high level of attention to detail and the ability to work well as part of a fast paced team. The ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by resolving open balances with the goal to prevent future rework. In this position, you will analyze EOBs and/ or payor correspondence to reconcile system credit balances or potential overpayments, research and resolve problem accounts, and request adjustments. You will effectively identify trends and analyze root causes to drive work efficiently within the team. Hybrid and remote position available. All necessary equipment is provided.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refunds, retractions, and/or adjustments to claims
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims
• Use critical and analytical problem solving skills to resolve issues
• Uses strong organizational skills to effectively manage large amounts of detailed information
• Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.
• Contributes to implementation of process improvement initiatives aimed at improving credit department
• Supports monthly reporting of outstanding credit balances
• Stay current on communications relating to healthcare reimbursement and regulatory changes
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Understand and adhere to all policies, laws and regulations applicable to this role
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Here is what you can expect when you join our Village:

• A "community first, company second" culture based on Core Values that really matter
• Clinical outcomes consistently ranked above the national average
• Award-winning education and training across multiple career paths to help you reach your potential
• Performance-based rewards based on stellar individual and team contributions
• A comprehensive benefits package designed to enhance your health, your financial well-being and your future
• Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation

Qualifications:

• High School Diploma or equivalent required
• 5+ years' experience with accounting, transactions or medical billing systems a plus
• Health care and medical billing/collections/overpayment remediation or experience is preferred
• Knowledge or experience working with a variety of health care insurance payers is preferred
• Intermediate computer proficiency in Microsoft Office including Excel and Outlook

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• 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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At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.