Revenue Specialist II (ROPS)

Posting Date 06/02/20262000 16th St, Denver, Colorado, 80202-5117, United States of America About Team Phantasm Team Phantasm is a highly specialized, results-driven group within Revenue Operations. Our team focuses on resolving complex claim issues, specifically managing negative receipts caused by retractions, recoups, and refunds. We work closely with many insurance payers and collaborate with internal partners to ensure accurate claim resolution, execute payer appeals, and manage bad debt adjustments. We pride ourselves on our problem-solving abilities, teamwork, and accountability. Key Responsibilities Claims Resolution: Investigate and resolve complex negative receipts, retractions, and recoup postings on patient accounts to ensure accurate claim balances. Cross-Functional Collaboration: Partner with internal teams—including Team Reach—to coordinate payment postings, manage apply-back rules, and resolve general ledger (GL) discrepancies. Root Cause Analysis: Perform deep dives into recurring claim issues to identify broader trends and resolve bigger picture problems, preventing future negative receipts. Payer Escalations & Appeals: Submit formal appeals and escalation letters to payers regarding retractions, missing payments, and DaVita issued refunds. Follow up consistently to track payer responses. Account Reconciliation & Adjustments: Audit patient accounts to correct misapplied funds, reallocate payments between primary and secondary insurances, and apply appropriate financial adjustments to ensure accurate billing records. Performance Metrics: Maintain high performance on core team metrics. Qualifications & Skills High school diploma or GED, required Associates or Bachelor’s degree, highly preferred Ability to research and problem solve, using analytical and critical thinking skills Healthcare and medical billing/collections experience Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook Demonstrated history of resolving challenging issues Deeply built values of TEAM! Technical Proficiency: Experience utilizing issue tracking software and intermediate-to-advanced Microsoft Excel skills (e.g., Pivot Tables, reporting trackers) Communication: Excellent written and verbal communication skills for effective payer outreach and clear internal collaboration Culture Fit: A strong commitment to team engagement, accountability, and living the DaVita Way What's in it for you? A Fun, relationships-based culture-patient- and teammate-driven team Working for a FORTUNE 500 company stability-as the nation's largest independent provider of dialysis services Receive award winning training, as note in Training Magazine Top 125 award-winning education Opportunity for multiple career paths across a variety of cutting-edge modalities Rewards for your STELLAR performance Clinical outcomes consistently ranked above the national average-treating more than one-third of the dialysis population (that's approximately 100,000 patients!) Exceptional benefits-including the healthcare industry's most generous profit sharing program Most importantly...The best fit candidate for this position is someone who can connect strongly with our Core Values and be a shoe in with our Culture. We know our new Patient Account Representative is out there…and we look forward to hearing from you! 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 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 comply with state and federal affirmative action requirements. 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. This position will be open for a minimum of three days. The Wage Range for the role is $19.50-$25.50 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. For location-specific minimum wage details, see the DaVita.jobs/WageRates. Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. #J-18808-Ljbffr DaVit