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Revenue Lead, ROPS
DaVita Kidney Care. Research and resolve high-complexity collection account balances according to DaVita policies, procedures, and federal and state billing regulations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare reimbursement and revenue cycle management, with a strong focus on compliance with ESRD and Medicare Secondary Provider laws. Capable of analyzing complex billing issues, developing action plans, and training team members to enhance performance.
Highest-signal resume keywords
Healthcare ReimbursementRevenue Cycle ManagementESRD KnowledgeAnalytical SkillsProject Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing RegulationsData AnalysisAction Plan DevelopmentClaims ProcessingQuality Assurance
Soft Skills
LeadershipCommunicationProblem-SolvingTeam CollaborationConfidentiality
Tools & Technologies
MS ExcelMS WordMS PowerPoint
Industry Keywords
HIPAA CompliancePayer TrendsBad Debt MinimizationTraining and DevelopmentMetrics Review
About the role
Key responsibilities & impact- Research and resolve high-complexity collection account balances according to DaVita policies, procedures, and federal and state billing regulations
- Review weekly and monthly key metrics to identify trends and focus areas
- Develop, document, and implement action plans with Management
- Identify payer trends and root causes of billing or claim exceptions, resolving or escalating issues to minimize bad debt
- Determine and apply appropriate business actions when policies are absent or ambiguous
- Escalate issues and provide recommendations
- Act as a resource for teammate questions and problematic payer issues
- Train new teammates and conduct individual and group training
- Identify training opportunities to improve individual and team performance
- Recommend changes to collection teams, tools, policies, and procedures
- Approve close reconciliations and related activities for timely submission of primary, secondary, and tertiary insurance claims
- Serve as a subject matter expert for close
- Review and approve adjustments and claims appeals
- Conduct quality assurance reviews and provide feedback to teammates and management
- Support department initiatives and manage multiple projects
- Stay current on ESRD and Medicare Secondary Provider law changes
- Attend team meetings, phone conferences, and training as needed
- Participate in DaVita village and neighborhood initiatives
Requirements
What you’ll need- 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
- Strong analytical skills
- Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment
- Ability to interact positively with all levels of the company
- Ability to maintain confidentiality in accordance with HIPPA regulations and DaVita policies
- Knowledge of ESRD and Medicare Secondary Provider laws
- Consistent, regular, and punctual attendance
- Overtime may be required
- Less than 5% travel required
Benefits
Comp & perks- Medical, dental, and vision coverage
- 401(k) match
- Paid time off
- PTO cash out
- Family resources
- EAP counseling sessions
- Headspace® access
- Backup child and elder care
- Maternity/paternity leave
- Professional development programs
- On-demand virtual leadership and development courses through DaVita’s StarLearning online training platform