Job Description3201 S 323rd St,Federal Way,Washington,98001-5023,United States of America
DaVita is the nation's largest independent provider of kidney care, and we seek every day to uphold our mission to be the Partner, Provider, and Employer of choice.
OurRevenue Analyst will be responsible for business process design and re-engineering projects related to DaVita's revenue operations. Revenue Analyst serves as DaVita's expert internal resource for escalation, communication and resolution of complex payor and billing issues; payor research in both new and known markets, and leadership and coordination of cross functional projects.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Serve as an inter-department resource and subject matter expert on payor related projects and implementations as relates to claims submission and reimbursement set up
Define policies, procedures, training and documentation requirements to support effective, well communicated and timely process/policy changes
Ensure that DaVita remains at the forefront of industry and payor changes that impact the revenue cycle and our ability to submit the cleanest claims
Meet tight deadlines in a time sensitive and resource constrained project environment
Independently investigate and document complex payor and clearinghouse operating procedures
Develop innovative solutions to complex billing problems and provide recommendations with regard to new initiatives
Identify, recommend and enact opportunities for learning and teaching within the department
Strong organizational skills with an ability to effectively manage large amounts of data to analyze and identify opportunities based on the findings
Quickly learn current processes and constraints to develop vision for optimal business processes related to the revenue cycle
Provide data-driven analysis and define business opportunities
Achieve radical, measurable performance improvements in a scaled operation
Illustrate past experiences in process improvement and strategic quantitative analyses
Make key recommendations and decisions for resolution with payors
Identify root cause of claim exceptions - resolve - and / or escalate issues and make recommendations for business action as appropriate for prompt and effective resolution
Responsible for interpreting policy as it relates to exceptions and make key decisions on business actions to resolve
Meets with manager to discuss key success metrics and establish deliverables
Maintain knowledge of ESRD/MSP laws and changes
Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials and other payor-related correspondence
Participate in regularly scheduled meetings with supervisor / manager to discuss key success metrics regarding billing activity, DSO, account setup requests, denials and A/R reports
Collaborate closely (in conjunction with Manager) with internal Revenue Operations teams to obtain needed information / updates to bill payors while also develop stringing relationships with Revenue Operations teams.
Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
Some light travel required
Drive special projects and other responsibilities as assigned
Healthcare background and experience highly desirable and preferred
Previous project management experience highly desirable and preferred
Proven ability to work independently to achieve goals
Proven ability to own and be responsible for key projects and processes
Superior problem solving and analytical skills
Ability to work on several projects simultaneously
Excellent written and verbal communication skills
Ability to demonstrate poise and assertiveness in holding co-workers to project deadlines
Willingness to vary job responsibilities as required to meet the business needs
QUALIFICATIONS:
Bachelor's degree or equivalent experience in :
Revenue Cycle
Project Management
Analytics
Intermediate to advance proficiency in Microsoft Excel and PowerPoint, in addition to Microsoft Office applications
SQL experience preferred but not required
Here is what you can expect when you join our Village:
A "Community first, Company second" culture based on Core Values that really matter.
Clinical outcomes consistently ranked above the national average.
Award-winning education and training across multiple career paths to help you reach your potential.
Performance-based rewards based on stellar individual and team contributions.
A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
Dedication, above all, to caring for patients suffering from chronic kidney failure around the world. * High school diploma or equivalent required
Minimum of three (3) years' healthcare reimbursement experience preferred ; experience with admissions, billing, and collections preferred
Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
Basic computer skills and proficiency in MS Word, Excel, and Outlook required
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Salary/ Wage Range
$23.00-$38.00 / hour
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
DaVita is an equal opportunity/affirmative action employer. As such, DaVita makes hiring decisions solely on the basis of qualifications and experience, and without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.