Revenue Specialist I – Appeals, Denials

DaVita Kidney Care

. Develop and maintain relationships with insurance companies .

Posted 10/23/2026full-timeRemote • Pennsylvania • United StatesMid-LevelSenior💰 $19 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare billing and collections, with a strong focus on resolving claim denials and appeals. Proficient in analytical problem-solving and maintaining relationships with insurance companies and clinical personnel.

Highest-signal resume keywords

Healthcare Billing ExperienceDenials And Appeals ResolutionAnalytical And Critical Thinking SkillsIntermediate Microsoft Office ProficiencyRelationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ResearchPayment CollectionRoot Cause AnalysisProblem Account ResolutionTrend Identification

Soft Skills

Team CollaborationCommunication SkillsProblem Solving

Tools & Technologies

Insurance Carrier PortalsMicrosoft WordMicrosoft ExcelMicrosoft Outlook

Certifications & Qualifications

High School DiplomaGEDAssociate's DegreeBachelor's Degree

Industry Keywords

Insurance CompaniesPatient BalancesCollection Performance GoalsClaim RejectionsUnderpayments

About the role

Key responsibilities & impact

Develop and maintain relationships with insurance companies
Collect payment from insurance companies on outstanding patient balances
Research and resolve problem accounts as needed
Maximize collections to achieve collection performance goals
Research and resolve accounts on behalf of patients
Use phone, email, and insurance carrier portals to achieve resolution
Identify trends and perform root cause analysis on unpaid and underpaid claims
Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate insurance payor
Develop and maintain positive working relationships with clinical personnel, teammates, and insurance representatives

Requirements

What you’ll need

Denials/Appeals experience preferred
Candidate will be expected to work PST hours
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 is preferred
Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook
Demonstrated history of resolving challenging issues
Deeply built values of TEAM!

Benefits

Comp & perks

A Fun, relationships-based culture-patient- and teammate-driven team
Working for a 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
Exceptional benefits-including the healthcare industry's most generous profit sharing program
Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Family resources
EAP counseling sessions
Access Headspace ®
Backup child and elder care
Maternity/paternity leave
Professional development programs
On-demand virtual leadership and development courses through DaVita’s online training platform StarLearning