Assist in preparation of estimating net revenues
Analyze FFS (fee-for-service) collection trending
Work in a consultative capacity to identify and implement process, technology and training initiatives to support the accurate and timely billing and collection of accounts receivable.
Provide analytical support to and develop tools for company operations to enhance their skills in detecting both current and future performance issues.
Perform research on best practices and standards in the revenue cycle for the healthcare industry to assist in standardization of goal setting performance monitoring.
Develop and manipulate large data sets as well as analyzes data groups to assist in the development and implementation of process improvement strategies.
Understanding knowledge of 837/EDI process including payer specific rules.
Assists in auditing all electronic reports and paper claims and make corrections when necessary.
Ensures accessibility and flow of performance information to all relevant parties; works to prevent or address data transmission issues.
Analyzes financial and revenue cycle performance data to identify trends, patterns, and root causes.

Seven years of relevant healthcare claims experience with identifying insurance underpayments and revenue recovery.
Highly analytical with excellent reconciliation experience and sound accounting working knowledge.
Must be familiar with commercial and government healthcare reimbursement methodologies.
Strong knowledge of hospital billing and managed care.
Must have strong technical skills, advanced Excel.
Excellent verbal and written communication skills.
Minimum three years of data or financial analysis experience required; five years of experience preferred.
Prior experience in revenue management, patient financial services, and/or health information systems required.

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.

Revenue Specialist III

Key skills