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Revenue Specialist II
DaVita Kidney Care. Work closely with practices and leaders to investigate and design strategic initiatives improving revenue cycle statistics, reporting capabilities, and overall performance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare finance and revenue cycle management, with a strong focus on data analysis, reporting, and process improvement. Proficient in utilizing advanced Excel skills to support financial analysis and operational tools for performance monitoring.
Highest-signal resume keywords
Healthcare Claims ExperienceData AnalysisRevenue Cycle ManagementAdvanced Excel 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
Financial AnalysisData ReportingRevenue RecoveryBilling KnowledgeAuditingReimbursement MethodologiesAWP Pricing Rules837/EDI ProcessesPerformance MetricsProcess Improvement
Soft Skills
Verbal CommunicationWritten CommunicationProblem SolvingOrganizational SkillsInitiative
Industry Keywords
Healthcare FinanceInsurance UnderpaymentsManaged CareHospital BillingComplianceAccounting TheoryPerformance MonitoringData Transmission IssuesFee-for-Service TrendsHealthcare Standards
About the role
Key responsibilities & impact- Work closely with practices and leaders to investigate and design strategic initiatives improving revenue cycle statistics, reporting capabilities, and overall performance
- Implement, design, and support business and administrative analytics within revenue cycle functional areas
- Develop reports with key performance indicators, metrics, data points, and formulas supporting management objectives
- Align processes with best practices to achieve optimal results, measurable change, and quantifiable positive contributions
- Assist in preparing estimates of net revenues
- Analyze fee-for-service collection trends
- Identify and implement process, technology, and training initiatives supporting accurate and timely billing and accounts receivable collection
- Provide analytical support and develop operational tools to identify current and future performance issues
- Research revenue-cycle best practices and healthcare industry standards to support standardized goal setting and performance monitoring
- Develop and manipulate large datasets and analyze data groups for process-improvement strategies
- Audit electronic reports and paper claims and make corrections when necessary
- Ensure accessibility and flow of performance information to relevant parties and address data transmission issues
- Analyze financial and revenue-cycle performance data to identify trends, patterns, and root causes
Requirements
What you’ll need- 1+ years of relevant healthcare claims experience identifying insurance underpayments and revenue recovery
- 1 year plus experience in health care finance, reimbursement, public or other accounting, auditing, budget, compliance, billing, or insurance, with progressive responsibility in analysis and project management
- 1–3 years of data or financial analysis experience
- Familiarity with AWP pricing rules
- Knowledge of pharmacy and major medical healthcare billing
- Knowledge of 837/EDI processes, including payer-specific rules
- Knowledge of commercial and government healthcare reimbursement methodologies
- Strong knowledge of hospital billing and managed care
- Significant knowledge of reimbursement rules, regulations, accounting, and auditing theory
- Working knowledge of healthcare, including billing, coding, and working with clinicians
- Prior project management experience
- Advanced Excel and strong technical skills
- Excellent reconciliation experience and sound accounting knowledge
- Excellent verbal and written communication skills
- Ability to define problems, collect data, establish facts, and draw valid conclusions
- Ability to interpret technical instructions in mathematical or diagram form
- Ability to work independently
- Highly organized and initiative to work independently
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 platform