Revenue Specialist - Collections (Irvine, CA)

Our client is looking for a passionate, customer oriented candidate to join their Revenue Operations Department as a Revenue Specialist in Irvine, CA!

This is a full time, Monday-Friday position and they are eager to have someone joing their team. Below is an overview of the position and the day-to-day responsibilities. Please apply if interested!

Overview

What Will You Do?

This position performs revenue cycle duties including but not limited to:

Processing patient insurance information through the patient intake process, collecting payment on outstanding patient balances, and resolving credits when over payments are received from payers and refunds need to be issued.

Example of daily responsibilities includes:

• Perform duties for revenue operations department related to either medical insurance collections or credits, or setting patient insurance coverage
• Communicate with insurance payers to ensure proper insurance coverage for our patients or to ensure timely and accurate reimbursement for dialysis services rendered at our clinics
• Respond timely and accurately to payer communications
• Collaborate with other revenue operations teams to ensure seamless processes across teams
• Partner with clinics teammates such as Insurance counselors, social workers and facility administrators to ensure timely and accurate insurance information
• Help identify process changes and opportunities for continuous improvements
• Maintain current patient account information at all times
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies

Other duties could include:

• May be asked to work overtime as needed
• Attend team meetings, phone conferences, and training as needed
• Know, understand and follow teammate guidelines, employment policies, and department or company procedures

Experience and required skills

• No previous healthcare Experience is required
• Excellent critical thinking and problem-solving skills: Every patient account and every insurance payor offers its own set of unique challenges. The ability to think through a situation and carefully identify the best action to take is critical to be successful at this role
• Strong communication and interpersonal skills: The position involves regular communication with insurance payors, as well as relationship building and interaction with other teammates
• Ability to adapt quickly: Our environment can change quickly on a daily basis. Adapting and demonstrating resilience are key.
• Ownership: Teammates in this position will own a book of business. With some support of their leadership, teammates in this role should demonstrate drive and initiative to work through their queue.
• Creating a Special Place: Understands and embraces the DaVita culture.

Training Provided:

• Knowledge of revenue cycle, insurance rules, and regulations for federal, state, and/or managed care payers in multiple states
• Knowledge of medical billing and reimbursement practices
• Usage of billing and reimbursement systems
• Basic medical reimbursement terminology
• Basic knowledge of healthcare reimbursement accounting principles