Revenue Specialist , ROPS

Position: Revenue Specialist I, ROPS
** Posting Date
** 12/17/ S 323rd St, Federal Way, Washington, , United States of America
** SCHEDULE**:
Monday - Friday, Daytime Hours!

Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Comprehensive Benefits Package This position performs revenue cycle duties including but not limited to:processing Out of Network patient authorizations ensuring the timely and accurate submission of requests to ensure patients are cleared to treat.
** Example of daily responsibilities includes:
*** Perform duties for revenue operations department related to authorizations.
* Communicate with insurance payers to ensure proper treatment and medication authorizations for our patients to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
* Respond timely and accurately to payer communications
* Collaborate with other revenue operations teams to ensure seamless processes across teams
* Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information
* Help identify process changes and opportunities for continuous improvements
* Maintain current patient account information at all times
* Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
** Other duties could include:
*** May be asked to work overtime as needed
* Attend team meetings, phone conferences, and training as needed
* Know, understand and follow teammate guidelines, employment policies, and department or company procedures
** Experience and required skills**
* * Prior Authorization experience required*
* *** Excellent communication skills: (Written & Verbal)***. The position involves regular communication with insurance payors, employers, or other teams.
* *** Excellent decision making and problem-solving skills:
*** Patient account and every insurance payor is different. The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role
* *** Ability to adapt quickly and manage stress:
*** Our environment can change quickly on a daily basis. Adapting and managing stress is important for success
* *** Relationships Building*:
** Working in teams and with other departments is central to this position
** Minimum Qualifications
*** High school diploma or equivalent
* Basic computer skills and proficiency in MS Word, Excel, and Outlook
** Training provided by DaVita:
*** Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
* Knowledge of Out of Network authorization practices
* Usage of DaVita systems
* Basic medical terminology
* Basic knowledge of healthcare authorization principles
** Training provided by DaVita:
*** Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
* Knowledge of medical billing and reimbursement practices
* Usage of DaVita billing and reimbursement systems
* Basic medical reimbursement terminology
* Basic knowledge of healthcare reimbursement accounting principles
** DaVita offers:
*** Flexible scheduling
* Fun and positive work environment
* Competitive “pay for performance” pay structure
* Generous PTO and comprehensive benefits package
** Here is what you can expect when you join our Village:
*** A "community first, company second" culture based on Core Values that really matter.
* Clinical outcomes consistently ranked above the national average.
* Award-winning education and training across multiple career paths to help you reach your potential.
* Performance-based rewards based on stellar individual and team contributions.
* A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
* Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation
** Our Core Values
*** Service Excellence
* Integrity* Team
* Continuous Improvement
* Accountability* Fulfillment
* Fun
* * What We’ll Provide:
** More than just pay, our DaVita Rewards package connects teammates to…