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Revenue Lead, ROPS

Company: DaVita Inc.
Location: Tacoma
Posted on: September 13, 2020

Job Description:

LOCATION: This role will initially sit in our Downtown, Tacoma Business Office, and will transition to our Federal Way Business Office in Spring 2021.

Tacoma Business Office - 1423 Pacific Ave | Tacoma, WA 98402

Federal Way Business Office - 32275 32nd Ave S | Federal Way, WA 98001

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 issues

Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt Identify and interpret policies related to exceptions

Determine and apply appropriate business action in absence of policies or in cases of ambiguity

Escalate issues as needed; provide recommendations

Act as resource for teammate’s questions and assist with issues of focus and problematic payer issues

Train new teammates

Identify training opportunities to improve individual and team performance; perform one-on-one and group training as needed

Recommend 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 close

Review and approve adjustments and claims appeals submitted by Specialist of Patient Accounts

Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement

Ability 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 changes

Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving

Ability to interact positively with all levels of the company

Maintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policies

Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures • Other duties and responsibilities as assigned including but not limited to:

Consistent, regular and punctual attendance as scheduled

Overtime may be required to ensure timely completion of tasks and required duties

Attend team meetings, phone conferences, and training as needed

Know, understand, and follow department or company procedures

Embrace the DaVita culture by actively participating in village and neighborhood initiatives

Demonstrate DaVita’s core values in all aspects of your role

Less than 5% travel required   MINIMUM QUALIFICATIONS

High School diploma or equivalent required

Two to four years’ experience in healthcare reimbursement and revenue cycle management preferred

Intermediate proficiency in MS Excel, Word and PowerPoint

ESSENTIAL BEHAVIORS, SKILLS AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION:

Commitment to DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Partners) in everyday performance and interactions

Core Competencies required of this position:

Building Relationships / Collaboration

Definition: Use appropriate interpersonal skills to foster positive relationships through the village and with external customers in a way that promotes openness and trust and gives them confidence in one’s intentions.

Key Actions:

Establishes relationships: connects easily with people and acts as a collaborative partner: puts others at ease and gains personal acceptance.

Seeks opportunities: Proactively tries to build effective working relationships with other people.

Demonstrates emotional intelligence: Uses strong conflict resolution skills.

Demonstrates openness in dealing with others: Acts in a manner consistent with the village and team mission and values; ensures that words and actions are consistent; keeps commitments to agree upon action.

Provides service excellence: Be a trusted partner to all peers, customers, support teams and leaders in an effort to build solid relationships.

1423 Pacific Ave, Tacoma, Washington, 98402, United States of America Posted 2 Days Ago

Full time

R0124167

About Us About DaVita Inc.

DaVita is a Fortune 500 health care provider focused on transforming care delivery to improve quality of life for patients globally. The company is the largest provider of kidney care services in the U.S. and has been a leader in clinical quality and innovation for 20 years. Through DaVita Kidney Care, the company treats patients with chronic kidney failure and end stage renal disease. DaVita is committed to bold, patient-centric care models, implementing the latest technologies and moving toward integrated care offerings for all. Through these efforts, DaVita has also become the largest provider of home dialysis in the country. As of June 30, 2019, DaVita served 204,900 patients at 2,723 outpatient dialysis centers in the United States. The company also operated 248 outpatient dialysis centers in nine countries worldwide. DaVita has reduced hospitalizations, improved mortality, and worked collaboratively to propel the kidney care industry to adopt an equitable and high-quality standard of care for all patients, everywhere. To learn more, visitdavita.com/about .

Interested in joining our Village? There are over 70,000 careers and counting.

DaVita is an equal opportunity employer- Male/Female/Veterans/Disabled. To learn more about what this means click here .

We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws.

Keywords: DaVita Inc., Tacoma , Revenue Lead, ROPS, Other , Tacoma, Washington

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