GENERAL PURPOSE OF THE JOB
The Manager, Payor Setup is
responsible for managing the day to day operations of system setup. This
includes month end reporting, review of system setup objects and accurate
revenue management for all commercial payers. The Payor Setups Manager oversees
the timely and accurate resolution of outstanding work triggers to achieve
department performance goals and to help achieve our ROPS vision of being a
trusted village neighborhood and world class revenue partner.
ESSENTIAL DUTIES AND
- Manage the various
system setup functions for company’s commercial payers
- Maintain a current and
thorough understanding of dialysis reimbursement and industry norms; monitor
payer trends, escalating issues, concerns and changes in payer behavior as
- Maintain current
knowledge of payer-related contracts, including state and federal mandates /
guidelines applicable to the assigned responsibilities of the team
- Review daily, weekly and
monthly key metrics to identify trends or areas of focus; Report variances and
trends to Director Revenue Management
- Develop innovative
solutions to complex billing problems and provide recommendations for
improvement and efficiency in processes
- Collaborate closely
across teams as needed to ensure trends and resolutions are addressed at a
company level not just a team level
- Ensure the team follows
documented Policies and Procedures, including Sarbanes and Oxley narratives and
perform all control activities.
- Make recommendations on
changes to existing tools, policies and procedures
- Provide consistent,
visible and timely communication to team on matters including but not limited
to: team goals and objectives, progress toward those goals, information that
will keep teammates well informed on issues and activities that impact their
ability to carry out their job responsibilities
- Manage or oversee
teammate recruitment and retention
- Manage teammate retention
by providing ongoing training, development, coaching and performance
management; to ensure teammates meet or exceed expectations of their position.
- Ensure new teammates
receive appropriate training to effectively understand their responsibilities,
other revenue departments, computer systems, and company policies, procedures
and Compliance standards
- Ensure teammates have
the appropriate tools, supplies, job aides, system access, etc. in order to be
effective in individual roles
- Write and conduct
Performance Development Reviews (PDRs) as required
- Address teammate
relations issues in a timely manner and escalate to Director and People
Services Manager as appropriate
- Develop, document and
implement action plans, as appropriate, to address deficiencies identified
while reviewing teammates’ work product
- Partner with the Payor
Setup Supervisor on department related activities
- Work collectively with
Payor Setup Supervisor on individual development through coaching, mentoring
and career conversations in preparation of the next level
- Understand and follow
the DaVita teammate guidelines, as well as local safety and security policies
- Foster strong working
relationships between team and across neighborhoods, encouraging communication
and collaboration for the overall benefit of our patients
- Maintain confidentiality
of all patient, teammate and company information in accordance with HIPAA
regulations and DaVita policies
- Build relationships with
ROPS leaders as well as support teams to foster a successful work environment
- Attend and contribute
meaningful content to meetings
- Develop and deliver
effective presentations as needed
- Responsible for managing
and meeting departmental budget
- Perform other duties and
special projects as needed to effectively manage department and meet department
- Additional duties as
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.
degree required. Equivalent combination of education and relevant work
experience will be considered in lieu of degree
to five years’ experience in healthcare reimbursement and revenue cycle
of two years’ related supervisory experience required
proficiency in MS Excel, Word and PowerPoint
computer skills and proficiency in MS Excel required; intermediate
proficiency in MS Access, Word, Outlook, and PowerPoint and SQL preferred
Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."
Why wait? Explore a career with DaVita today.
Go to http://careers.davita.com to learn more or apply.
is an equal opportunity/affirmative action employer. As such, DaVita
makes hiring decisions solely on the basis of qualifications and experience,
and without regard to race, color, religion, sex, gender identity, sexual
orientation, national origin, disability or protected veteran status.
We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.