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Sr. Payer Contract Specialist (Remote)

Company: DaVita Inc.
Location: Tacoma
Posted on: May 14, 2022

Job Description:

1423 Pacific Ave, -Tacoma, -Washington, -98402, -United States of America SCHEDULE : Monday - Friday, Daytime Hours! Full-time, Permanent Opportunity - Flexible Scheduling - Community-based Work Culture - Comprehensive Benefits Package LOCATION: This position is 100% remote. Requiring 3 business days of travel once per calendar quarter. And an initial 5-day onsite training the first week of employment. Salary/ Wage Range: $18.00-$27.00 hourly What Will You Do? This position performs revenue cycle duties including but not limited to: Research and input system architecture changes for insurance setup objects in support of generating revenue and claims for billing Implement and resolve highly complex payer contract requirements into DaVita's systems Respond to internal teams inquiries on contract, revenue, plan management and billing attributes Example of daily responsibilities includes:

  • Perform duties for revenue operations department related to either contract management, revenue management or insurance plan management including billing templates
  • Communicate with insurance payers to understand network coverage, relationships and contract terms to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
  • Process payer, partner and customer requests to ensure center and payer information is loaded into the billing system for accurate billing including single patient agreements
  • Respond timely and accurately to payer communications and bulletins
  • Collaborate with other revenue operations teams to ensure seamless processes across teams
  • Help identify process changes and opportunities for continuous improvements
  • Maintain current system setup attributes at all times including new technology, and charge master items
  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
  • Understand how setup objects/contract/payer requirements and system logic tie together in the billing system by collecting, analyzing, interpreting and summarizing data from source systems
  • Attend team meetings, phone conferences, and training as scheduled Other duties could include:
    • May be asked to work overtime as needed
    • Know, understand and follow teammate guidelines, employment policies, and department or company procedures Minimum Qualifications:
      • 2 years of Healthcare Experience in Revenue Operations is required
      • High school diploma or equivalent is required
      • -Intermediate computer skills and proficiency in MS Word, Excel, Access and Outlook is required Training provided by DaVita:
        • Knowledge of revenue cycle, insurance rules, and regulations for federal & state
        • Knowledge of medical billing and reimbursement practices
        • Usage of DaVita billing and reimbursement systems
        • Basic medical reimbursement terminology
        • Basic knowledge of healthcare reimbursement accounting principles 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. 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 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. Salary/ Wage RangeCompensation 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

Keywords: DaVita Inc., Tacoma , Sr. Payer Contract Specialist (Remote), Other , Tacoma, Washington

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