Revenue Lead

Role Description

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 Revenue Specialist teammates, and performs data trending analysis, quality assurance reviews and review of key metrics.

Qualifications

• 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

Requirements

• Review weekly and monthly key metrics to identify trends or areas of focus; work with Management to develop, document, and implement action plans to address issues
• Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt
• Identify and interpret policies related to exceptions
• Determine and apply appropriate business action in absence of policies or in cases of ambiguity
• Escalate issues as needed; provide recommendations
• Act as resource for teammate’s questions and assist with issues of focus and problematic payer issues
• Train new teammates
• Identify training opportunities to improve individual and team performance; perform one-on-one and group training as needed
• Recommend changes on collection teams, tools, policies and procedures
• Perform all close reconciliation approvals and related activities to ensure timely submission of primary, secondary and tertiary insurance claims
• Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts
• Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement
• Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment
• Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changes
• Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving
• Ability to interact positively with all levels of the company
• Maintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policies
• Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures
• 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
• 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

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.

Company Description

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.