Revenue Operations

• 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

Explore Revenue Lead, ROPS at DaVita Kidney Care. Review requirements and application details.