Collections

• Research and resolve high-complexity collection account balances according to DaVita policies and federal and state billing regulations
• Provide ongoing training and guidance for Specialist Patient Account teammates
• Review weekly and monthly key metrics to identify trends and areas of focus
• Develop, document, and implement action plans with management
• Identify payer trends and root causes of billing or claim exceptions
• Resolve or escalate issues to minimize bad debt
• Identify and interpret policies related to exceptions
• Determine and apply appropriate business actions in ambiguous situations
• Act as a resource for teammate questions and problematic payer issues
• Train new teammates and conduct individual and group training
• Recommend changes to collection teams, tools, policies, and procedures
• Perform close reconciliation approvals for primary, secondary, and tertiary insurance claims
• Review and approve adjustments and claim appeals
• Conduct quality assurance reviews and provide feedback
• Support department initiatives and manage multiple projects
• Stay current with ESRD and Medicare Secondary Provider laws and changes
• Maintain confidentiality of patient, teammate, and company information
• Attend team meetings, phone conferences, and training
• Participate in DaVita village and neighborhood initiatives

Collections jobs in Tennessee

Revenue Team Lead – Collections