Revenue Lead, ROPS

Company: DaVita Inc.
Location: Denver
Posted on: March 4, 2025

Job 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.SUPERVISORY RESPONSIBILITIES: NoESSENTIAL DUTIES AND RESPONSIBILITIESThe following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.

• 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 root causes of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt.
• Act as a resource for teammates' questions and assist with problematic payer issues.
• Train new teammates and identify training opportunities to improve individual and team performance.
• 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 appeals submitted by Specialists of Patient Accounts.
• Conduct quality assurance reviews of work output and provide feedback to teammates and management.
• 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 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 HIPAA regulations and DaVita policies.Other duties and responsibilities as assigned include:
  • Consistent, regular and punctual attendance as scheduled.
  • Overtime may be required to ensure timely completion of tasks.
  • 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.MINIMUM QUALIFICATIONSEducation, 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 in everyday performance and interactions.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 to 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 an affirmative action employer.This position will be open for a minimum of three days.Salary/Wage Range: $22.00-$33.50 / hour. 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 is an equal opportunity employer - Male/Female/Veterans/Disabled. We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.
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Keywords: DaVita Inc., Denver , Revenue Lead, ROPS, Other , Denver, Colorado