DaVita Careers

Payor Specialist

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Position Description

The Payor Specialist enables the Village to give life by identifying and addressing payor behavior which could include programs like Prospective Payment System or Healthcare Exchange Programs.  This teammate plays a key role in achieving overall performance goals and becoming a world class revenue partner through effective and timely collection activities while reducing bad debt.  This position reports to the Supervisor, of Patient Accounts (ROPS) and /or the Manager, Patient Accounts (ROPS).


ESSENTIAL DUTIES & RESPONSIBILITIES

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.

1.         Analyzes large volumes of data to support decisions that drive business results through monthly AR Reviews, Weekly performance reporting, and Ad-hoc analysis requests

 

2.         Identifies adverse plan designs and payor behavior and partners with cross functional teams to resolve

 

3.    Serves as inter-department resource and subject matter expert regarding payor related opportunities and

projects

a.       Partners with payor contracting in providing analytics to support decision making on contract status

b.      Responds to requests from cross functional teams which may include: Mainstream, Diplomats, Project Managers, and Senior Leadership for updates on payor related issues

 

4. Communicates key takeaways from analysis to aid Senior Leadership in making strategic business decisions

 

5.  Identifies payor trends and or root cause of billing or claim exceptions; resolve and/or escalate issues

 

6.    Educates payors on accurate Prospective Payment System (PPS) through appeals and phone calls

 

7.   Minimizes bad debt by ensuring timely follow-up of all programs like primary exchange and short-paid Medicare Advantage claims, resolution of denials, and other payor related correspondence

 

8.   Identifies industry and payor changes impacting revenue cycles

 

9.   Ability to work independently with minimal guidance, as well as strong time management skills and meeting strict deadlines

 
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 preferred

•          One year prior experience in collections/Accounts Receivable strongly preferred

•          Ability to work on several projects simultaneously

•          Intermediate computer proficiency in Microsoft Office including Word, Excel, and Outlook

 
 
 
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: Payor Specialist
  • Job Function: Other - Corporate Office
  • Location: Irvine, California