This position performs revenue cycle duties including processing patient insurance information through the patient intake process
Ensuring timely and accurate submission of insurance claims
Collecting payment on outstanding patient balances
Perform duties for revenue operations department related to either medical insurance billing, collections or patient access
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
Review and submit system setup requests to appropriate teams to ensure center and payer information is loaded into the billing system for accurate billing
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
Requirements
High school diploma or equivalent
Basic computer skills and proficiency in MS Word, Excel, and Outlook
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 DaVita billing and reimbursement systems
Basic medical reimbursement terminology
Basic knowledge of healthcare reimbursement accounting principles