This position researches and resolves high complexity collection account balances according to DaVita policies and procedures and compliance with federal and state billing regulations. This position also provides ongoing training and guidance for Specialist Patient Account teammates, and performs data trending analysis, quality assurance reviews and review of key metrics.
SUPERVISORY RESPONSIBILITIES: No
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.
Review, weekly and monthly key metrics to identify trends or areas of focus; work with Management to develop, document, and implement action plans to address issuesIdentify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debtIdentify and interpret policies related to exceptionsDetermine and apply appropriate business action in absence of policies or in cases of ambiguityEscalate issues as needed; provide recommendationsAct as resource for teammate’s questions and assist with issues of focus and problematic payer issuesTrain new teammatesIdentify training opportunities to improve individual and team performance; perform one-on-one and group training as neededRecommend changes on collection teams, tools, policies and procedures Perform all close reconciliation approvals and related activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert for closeReview and approve adjustments and claims appeals submitted by Specialist of Patient AccountsConduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvementAbility to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment. Support department initiatives.Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changesStrong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solvingAbility to interact positively with all levels of the companyMaintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policiesKnow, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and proceduresOther duties and responsibilities as assigned including but not limited to:
Consistent, regular and punctual attendance as scheduledOvertime may be required to ensure timely completion of tasks and required dutiesAttend team meetings, phone conferences, and training as neededKnow, understand, and follow department or company proceduresEmbrace the DaVita culture by actively participating in village and neighborhood initiativesDemonstrate DaVita’s core values in all aspects of your roleLess than 5% travel required
MINIMUM QUALIFICATIONS
Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.
High School diploma or equivalent requiredTwo to four years’ experience in healthcare reimbursement and revenue cycle management preferredIntermediate proficiency in MS Excel, Word and PowerPointAt 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 Diversity & 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 an affirmative action employer. As such, 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.
Applications are accepted on an ongoing basis.
Salary/ Wage Range
$23.50 - $39.50 / hourCompensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. 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.