DaVita Careers

Manager, Payor Set up

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Position Description

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 RESPONSIBILITIES 

  • 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 appropriate
  • 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 and procedures
  • 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 goals
  • Additional duties as assigned


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.    

Qualifications

  •  Bachelor’s degree required. Equivalent combination of education and relevant work experience will be considered in lieu of degree
  • Three to five years’ experience in healthcare reimbursement and revenue cycle management preferred
  • Minimum of two years’ related supervisory experience required
  • Intermediate proficiency in MS Excel, Word and PowerPoint
  • Advanced 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. 
  
To learn more about our Village and the world of dialysis, click here.

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DaVita 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.

Position Summary

  • Job Title: Manager, Payor Set up
  • Job Function: Billing / Collections / Insurance
  • Location: Tacoma, Washington