Revenue Specialist

We are looking for a Revenue Specialist I, II, or III

GENERAL PURPOSE OF THE JOB

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

This position performs revenue cycle duties including but are not intended to be all-inclusive.

• PT Outreach: Calling the patient directly to educate and assist with COB Updates

• Inventory Management: Working in bulk to resolve quickly and efficiently
• Payer calls and appeals: Collecting high dollar payments on outstanding patient balances.
• Autonomous ownership over assigned payers and book of business
  • SMEs conduct Quarterly AR reviews with leadership to share wins and areas of opportunity
• Opportunity for individual and collaborative side projects

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

Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.

• 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.

Communication / Influence

Definition: Possess the ability to clearly and concisely communicate to internal and external customers; Influences and gains commitment from key stakeholders to take action that will advance shared interests and business goals.

Key Actions:

• Clarifies purpose and importance when communicating with others: Actively listens and responds appropriately.
• Seeks to understand: Uses open-ended questions to explore issues and clarify perspectives and goals.
• Makes a compelling case: Presents logical and rationale recommendations in a manner that clearly links them to critical business priorities.
• Gains Commitment: Adjusts influence strategy based on stakeholder perspectives; leverages shared goals to convince others to take action; handles objections; asks for agreement to next steps.
• Effectively Communicates: Listens without passing judgment and doesn’t rush in to give advice; communicates with respect in every interaction.

Adaptability

Definition: Maintains effectiveness when experiencing various changes in work responsibilities or environment; learns and adjusts effectively to work within new work systems, processes, requirements, and act.

• Key Actions:
  • Demonstrates an understanding of changes: Actively seeks information about new work situations; strives to understand the rationale and implications for changes in works responsibilities or environment.
  • Embraces change openly & positively: Treats change and new situations as opportunities for learning and growth; identifies the benefits of change; speaks positively about the change to others.
  • Quickly gains knowledge, understanding or skill: Demonstrate the ability to integrate new information and draws conclusions from it.
  • Adjusts behavior: Quickly modifies behavior to deal effectively with changes in the work environment; tries new approaches appropriate for new or changed situations; does not persist with ineffective behaviors.
  • Believes continuous improvement is a way of life: Processes the change unselfishly & seeks to understand the overall village impact.

Managing Work (Includes Time Management)

Definition: Effectively organize and manage time and resources to ensure that work is completed efficiently; takes timely and appropriate action to accomplish a task and / or resolve the issue.

• Key Actions:
  • Effectively manage multiple assignments and priorities: Identifies critical activities and tasks and arranges them in order of relevance; adjusts priorities when appropriate.
  • Makes preparations: Ensures that required materials are in appropriate location and ensure work is completed timely and effectively.
  • Schedules: Effectively allocates own time to complete work; coordinates schedule to avoid conflicts.
  • Utilizes resources: Demonstrates ability to delegate and takes advantage of available resources (individuals, processes, departments and tools) to complete work efficiently.
  • Stays focused: Uses time effectively and prevents irrelevant issues or distractions from interfering with work completion.

Critical Thinking

Definition: Identifies and seeks to understand issues, problems, and opportunities; compares information from different sources to draw conclusions; uses effective approaches for choosing a course of action or developing appropriate solutions.

• Key Actions:
  • Recognizes issues, problems or opportunities: determines the necessary action that is needed.
  • Asking clarifying questions: in order to identify and better understand issues, problems and opportunities.
  • Integrates information from a variety of sources; identify trends and cause – effect relationships within and outside of their lane.
  • Develop and or evaluate relevant options: for addressing trends / opportunities to achieve desired resolution.
  • Utilize firm decision making and reasoning skills: to ensure understanding of the end result.
  • Formulate recommended action: and include others in the decision making process when warranted.

Action Oriented

Definition: Takes prompt and appropriate action to accomplish objectives; takes action to achieve goals beyond what is required; is proactive.

• Key Actions:
  • Responds timely: Takes immediate action when confronted with a problem or when made aware of a situation.
  • Takes independent action: Initiates and implements new ideas or potential solutions without prompting; does not wait for others to take action or to request action.
  • Goes above and beyond: Takes action that goes beyond job requirements in order to achieve objectives.
  • Ability to initiate new ideas: Turns ideas into processes with proven results.
  • Ability to follow Compliance protocol: Have a firm understand to ensure appropriate procedures and guidelines are followed and applied as appropriate.

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 Range

Compensation 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