Revenue Specialist II, ROPS

3201 S 323rd St, Federal Way, Washington, 98001-5023, United States of America

We are seeking Regional Registration Specialists to join the DaVita team in Tacoma, Washington!

On-site presence is required once a month at our office in Federal Way, WA.
 
This position processes patient insurance information provided by facilities through the patient intake process to complete the patient registration process. This position ensures timely and accurate claims submission for assigned dialysis centers within a geographic region in accordance with company policies and compliance with federal and state billing regulations.

• Initiate and/or maintain ongoing communication with facilities to ensure timely, accurate receipt of patient insurance coverage information.
• Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis.
• Update Patient Registration and associated systems accurately and as required
  Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration.
• Partner with facility and Insurance Management Team to resolve incomplete registrations.
• Resolve patient account errors that cause registration denials.
• Help identify process changes to prevent failed registrations.
• Determine Coordination of Benefits as required; always maintain current patient account information.
• Submit internal requests including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc. to ensure accurate and timely claims submission to the correct payors.
• Complete all ancillary reports and assigned projects within established timeframes.
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies

Qualifications:

• High school diploma or equivalent required
• Basic computer skills and proficiency in MS Word, Excel, and Outlook required.
• Minimum of three (3) years’ healthcare reimbursement experience preferred; experience with admissions, billing, and collections required.
• Demonstrated knowledge of insurance rules, regulations, and Coordination of Benefits for federal, state, and/or managed care payors in multiple states required.

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more

• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

Applications are accepted on an ongoing basis.

Salary/ Wage Range

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits