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Revenue Analyst
Location : Washington, Tacoma
Refer job # ZQLN341382
 
Job Responsibilities and Requirements: ESSENTIAL DUTIES AND RESPONSIBILITIES: Serve as an inter-department resource and subject matter expert on payor related projects and implementations as relates to claims submission and reimbursement set up Define policies, procedures, training and documentation requirements to support effective, well communicated and timely process/policy changes Ensure that DaVita remains at the forefront of industry and payor changes that impact the revenue cycle and our ability to submit the cleanest claims Meet tight deadlines in a time sensitive and resource constrained project environment Independently investigate and document complex payor and clearinghouse operating procedures Develop innovative solutions to complex billing problems and provide recommendations with regard to new initiatives Identify, recommend and enact opportunities for learning and teaching within the department Strong organizational skills with an ability to effectively manage large amounts of data to analyze and identify opportunities based on the findings Quickly learn current processes and constraints to develop vision for optimal business processes related to the revenue cycle Provide data-driven analysis and define business opportunities Achieve radical, measurable performance improvements in a scaled operation Illustrate past experiences in process improvement and strategic quantitative analyses Make key recommendations and decisions for resolution with payors Identify root cause of claim exceptions - resolve - and / or escalate issues and make recommendations for business action as appropriate for prompt and effective resolution Responsible for interpreting policy as it relates to exceptions and make key decisions on business actions to resolve Meets with manager to discuss key success metrics and establish deliverables Maintain knowledge of ESRD/MSP laws and changes Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials and other payor-related correspondence Participate in regularly scheduled meetings with supervisor / manager to discuss key success metrics regarding billing activity, DSO, account setup requests, denials and A/R reports Collaborate closely (in conjunction with Manager) with internal Revenue Operations teams to obtain needed information / updates to bill payors while also develop stringing relationships with Revenue Operations teams. Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies Some light travel required Drive special projects and other responsibilities as assigned Healthcare background and experience highly desirable and preferred Previous project management experience highly desirable and preferred Proven ability to work independently to achieve goals Proven ability to own and be responsible for key projects and processes Superior problem solving and analytical skills Ability to work on several projects simultaneously Excellent written and verbal communication skills Ability to demonstrate poise and assertiveness in holding co-workers to project deadlines Willingness to vary job responsibilities as required to meet the business needs QUALIFICATIONS: Bachelor s degree or equivalent experience in : Revenue Cycle Project Management Analytics Intermediate to advance proficiency in Microsoft Excel and PowerPoint, in addition to Microsoft Office applications SQL experience preferred but not required 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 around the world. High school diploma or equivalent required Minimum of three (3) years' healthcare reimbursement experience preferred ; experience with admissions, billing, and collections preferred Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred Basic computer skills and proficiency in MS Word, Excel, and Outlook required.
 
 
 
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