Revenue Specialist III

OperationsOperationsFull TimeRemoteLeadTeam 10,001+Since 1994H1B No SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

8 days ago

Salary

$20 - $28 / hour

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

Revenue Specialist III

DaVita Kidney Care

• Assist in preparation of estimating net revenues • Analyze FFS (fee-for-service) collection trending • Work in a consultative capacity to identify and implement process, technology and training initiatives to support the accurate and timely billing and collection of accounts receivable. • Provide analytical support to and develop tools for company operations to enhance their skills in detecting both current and future performance issues • Perform research on best practices and standards in the revenue cycle for the healthcare industry to assist in standardization of goal setting performance monitoring • Develop and manipulate large data sets as well as analyzes data groups to assist in the development and implementation of process improvement strategies • Understanding knowledge of 837/EDI process including payer specific rules. • Assists in auditing all electronic reports and paper claims and make corrections when necessary. • Ensures accessibility and flow of performance information to all relevant parties; works to prevent or address data transmission issues • Analyzes financial and revenue cycle performance data to identify trends, patterns, and root causes

Job Requirements

  • Seven years of relevant healthcare claims experience with identifying insurance underpayments and revenue recovery.
  • Highly analytical with excellent reconciliation experience and sound accounting working knowledge
  • Must be familiar with commercial and government healthcare reimbursement methodologies.
  • Strong knowledge of hospital billing and managed care.
  • Highly organized
  • Initiative to work independently
  • Familiarity with AWP pricing rules
  • Pharmacy and Major Medical healthcare billing
  • Proficient with telephone and email communications.
  • Minimum three years of data or financial analysis experience

Benefits

  • 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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