Revenue Specialist I – Patient Outreach

Jobtailor; Deutschland; Remote; EUR 36.000 - 52.000; Vollzeit

Zusammenfassung

DaVita seeks an experienced Revenue Cycle/RCM professional to handle medical insurance billing, patient access, and collections for dialysis services. You will advocate for patients, update primary insurance, and ensure accurate claim submission while maintaining HIPAA compliance.

The role requires strong communication, decision-making, and problem-solving skills, with the ability to work under pressure and collaborate with cross-functional teams in a healthcare setting.

Qualifikationen

• RCM/ROPS experience required.
• Patient contact/customer service experience required.
• High school diploma or equivalent.
• Basic computer skills.
• Proficiency in MS Word, Excel, and Outlook.
• Must have ROPS revenue cycle management experience.
• Excellent written and verbal communication skills.
• Excellent decision-making and problem-solving skills.
• Ability to adapt quickly and manage stress.
• Relationship-building skills.
• Ability to maintain confidentiality in accordance with HIPAA regulations and DaVita policies.
• May be asked to work overtime as needed.

Aufgaben

• Perform revenue cycle duties related to medical insurance billing, collections, or patient access.
• Advocate for patients and assist them in updating primary insurance.
• Submit insurance claims accurately and collect outstanding patient balances.
• Communicate with patients and insurance payers to ensure proper coverage and timely reimbursement for dialysis services.
• Review and submit system setup requests to ensure center and payer information is loaded accurately in the billing system.
• Respond timely and accurately to payer communications.
• Collaborate with revenue operations teams to ensure seamless processes.
• Partner with insurance counselors, social workers, and facility administrators to maintain accurate insurance information.
• Identify process changes and continuous improvement opportunities.
• Maintain current patient account information.
• Maintain confidentiality of company and patient information.
• Attend team meetings, phone conferences, and training as needed.
• Follow teammate guidelines, employment policies, and department or company procedures.

Kenntnisse

RCM Experience

Patient Contact Experience

Excellent Communication Skills

Decision-Making

Problem-Solving

Adaptability

Stress Management

Relationship-Building

HIPAA Compliance

Ausbildung

High school diploma or equivalent

Tools

MS Word

MS Excel

Outlook

Jobbeschreibung

• Perform revenue cycle duties related to medical insurance billing, collections, or patient access
• Advocate for patients and assist them in updating primary insurance
• Submit insurance claims accurately and collect outstanding patient balances
• Communicate with patients and insurance payers to ensure proper coverage and timely reimbursement for dialysis services
• Review and submit system setup requests to ensure center and payer information is loaded accurately in the billing system
• Respond timely and accurately to payer communications
• Collaborate with revenue operations teams to ensure seamless processes
• Partner with insurance counselors, social workers, and facility administrators to maintain accurate insurance information
• Identify process changes and continuous improvement opportunities
• Maintain current patient account information
• Maintain confidentiality of company and patient information
• Attend team meetings, phone conferences, and training as needed
• Follow teammate guidelines, employment policies, and department or company procedures

Requirements

• RCM/ROPS experience required
• Patient contact/customer service experience required
• High school diploma or equivalent
• Basic computer skills
• Proficiency in MS Word, Excel, and Outlook
• Must have ROPS revenue cycle management experience
• Excellent written and verbal communication skills
• Excellent decision-making and problem-solving skills
• Ability to adapt quickly and manage stress
• Relationship-building skills
• Ability to maintain confidentiality in accordance with HIPAA regulations and DaVita policies
• May be asked to work overtime as needed

Core Competencies

Demonstrates expertise in revenue cycle management (RCM) and patient billing processes, ensuring accurate insurance claims submission and effective communication with patients and payers. Maintains confidentiality in accordance with HIPAA regulations while fostering strong relationships with patients and healthcare teams.

Highest-signal resume keywords

• RCM Experience
• Patient Contact Experience
• Proficiency in MS Word, Excel, and Outlook
• Excellent Communication SkillsHIPAA Compliance

Hard Skills

• Medical Insurance Billing
• Collections
• Patient Access
• Insurance Claims Submission
• Revenue Cycle Management
• System Setup Requests
• Account Information Maintenance
• Process Improvement
• Decision-Making
• Problem-Solving

Soft Skills

• Customer Service
• Relationship-Building
• Adaptability
• Stress Management

Industry Keywords

• Confidentiality
• Payer Communications
• Continuous Improvement
• Team Collaboration
• DaVita Policies