DaVita Kidney Care is a healthcare company focused on dialysis and related treatment for people living with kidney disease. Its kidney care approach brings together clinical services and support from healthcare professionals such as nurses, dietitians, social workers, and patient care technicians. The company’s work is centered on helping patients manage their care while building an inclusive workplace for a large, multidisciplinary healthcare team. DaVita also highlights opportunities for career development and a supportive employee culture.
Revenue Specialist II - Healthcare Revenue Cycle (Colorado Remote)
Support DaVita’s healthcare revenue-cycle operations through billing analytics, claims and collections analysis, reporting, and process improvement. Build operational tools and identify trends that improve billing accuracy and financial performance.
Description
- Partner with practices and leaders to investigate performance issues and shape initiatives that improve revenue-cycle metrics, reporting, and results.
- Design, implement, and support business and administrative analytics across revenue-cycle functions.
- Create management reports using KPIs, metrics, data points, and formulas.
- Apply established best practices to improve outcomes and deliver measurable results.
- Support the preparation of net revenue estimates.
- Evaluate fee-for-service collection trends.
- Develop and implement process, technology, and training improvements that promote accurate, timely billing and accounts receivable collections.
- Provide analytical guidance and build operational tools to identify existing and emerging performance issues.
- Research healthcare revenue-cycle standards and best practices to inform consistent goals and performance tracking.
- Develop, manipulate, and analyze large datasets to guide process-improvement strategies.
- Review electronic reports and paper claims, correcting errors as needed.
- Maintain the availability and flow of performance information for relevant stakeholders and resolve data-transmission issues.
- Analyze financial and revenue-cycle data to uncover trends, patterns, and root causes.
Requirements
- At least one year of relevant healthcare claims experience, including identifying insurance underpayments and recovering revenue.
- More than one year of healthcare finance, reimbursement, public or other accounting, auditing, budgeting, compliance, billing, or insurance experience with increasing analytical and project-management responsibility.
- One to three years of data or financial analysis experience.
- Familiarity with AWP pricing rules.
- Knowledge of pharmacy and major medical billing.
- Knowledge of 837/EDI processes, including payer-specific requirements.
- Familiarity with commercial and government healthcare reimbursement methods.
- Strong understanding of hospital billing and managed care.
- Advanced Excel proficiency.
- Strong technical, systems, reconciliation, accounting, auditing, and analytical capabilities.
- Working knowledge of healthcare billing and coding, with experience working with clinicians.
- Previous project-management experience.
- Excellent written and verbal communication skills.
- Ability to work independently.
- Ability to define problems, gather data, establish facts, and reach sound conclusions.
- Ability to interpret technical instructions presented mathematically or diagrammatically.
Benefits
- Medical, dental, and vision insurance coverage.
- 401(k) matching.
- Paid time off.
- PTO cash-out option.
- Family resources.
- EAP counseling sessions.
- Access to Headspace®.
- Backup care for children and older adults.
- Maternity and paternity leave.
- Professional development programs.
- On-demand virtual leadership and development courses through DaVita’s StarLearning online training platform.