Revenue Specialist I (ROPS)

Total Renal Care; Rhode Island; Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Flexible scheduling

PTO & benefits

Education & training

Headspace access

Job summary

DaVita is seeking a Revenue Cycle Specialist to manage patient insurance and collections duties. The role supports remote work with availability for PST hours and monthly on-site attendance in Irvine, CA as needed. You will collaborate with doctors, clinics, and payers to ensure accurate patient billing and compliant practices.

No healthcare experience is required, but strong problem solving, communication, and ownership of patient accounts are essential. Training and benefits are provided.

Qualifications

• No healthcare experience required.
• Ability to think through situations and take appropriate action.
• Strong communication with payers and teammates to resolve issues.
• Adaptability to a changing daily environment.
• Demonstrates ownership of a patient account book.

Responsibilities

• Handle revenue operations duties related to medical insurance collections or credits.
• Communicate with insurers to ensure proper coverage and timely reimbursement for dialysis services.
• Respond promptly to payer inquiries and maintain accurate accounts.
• Collaborate with clinics and teammates to ensure timely insurance information.
• Maintain HIPAA compliance and protect patient confidentiality.
• May be required to work overtime and participate in trainings.

Skills

Critical thinking

Problem solving

Communication

Interpersonal skills

Adaptability

Ownership

DaVita culture

Education

High school diploma or equivalent

Tools

MS Word

Excel

Outlook

Job description

15271 Laguna Canyon RdSte 100, Irvine, California, 92618-3146, United States of America

SCHEDULE : Monday - Friday

Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Comprehensive Benefits Package

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 overpayments are received from payers and refunds need to be issued.

Open to remote candidates

Candidates must be able to accommodate PST hours

CA candidates: On-site presence is required once a month at our office in Irvine, CA

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 resiliency 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.

Minimum Qualifications:

• High school diploma or equivalent
• Basic computer skills and proficiency in MS Word, Excel, and Outlook

Training provided by DaVita:

• 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

DaVita offers:

• Flexible scheduling
• Fun and positive work environment
• Competitive "pay for performance" pay structure
• Generous PTO and comprehensive benefits package

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 across the nation

Our Core Values

• Service Excellence
• Integrity
• Team
• Continuous Improvement
• Accountability
• Fulfillment
• Fun

What We’ll Provide:

• More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
• 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.