DaVita Careers

Supervisor, Revenue Cycle

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Position Description

 

The Revenue Cycle Supervisor assists the Revenue Manager in the supervision of patient admissions, billing and collections activities of a team responsible for the accounts receivable of assigned dialysis centers within a geographic region in accordance with company policies and in compliance with federal and state billing regulations. This position would have direct reports and would be responsible for daily follow-up and would be involved in weekly leadership meetings with Managers and Directors.

 

Team Oversight

  • Ensure that accounts receivable is an accurate reflection of what is collectible and that teammates identify and adjust uncollectible balances accurately and timely with the appropriate approvals
  • Ensure timely submission of primary, secondary and tertiary insurance claims
  • Ensure AR exceptions are solved at root cause
  • Ensure timely and accurate patient registrations including insurance verification, authorization, referrals, and ongoing maintenance of eligibility with existing patients
  • Review and approve adjustments as appropriate
  • Ensure team follows documented policies and procedures, including SOX narratives, and conduct SOX control activities, as appropriate
  • Assimilate new staff into department. Administrative duties for new hire - email communications, meet and greet, budget changes, action notices etc.
  • Ongoing training for existing team
  • Monitor performance of team. Continue to create metrics and yearly goals. 1-1 meetings to discuss progress, issues, career path. Continued mentoring of team.

 

Analytics / Strategy

  • Review daily, weekly and monthly key metrics to identify trends or areas of focus; work with Revenue Manager to develop, document and implement action plans, as appropriate, to address issues
  • Maintain current and thorough understanding of dialysis reimbursement and industry norms; monitor payment trends, escalating issues, concerns and changes in payer behavior reporting as appropriate to Revenue Manager
  • Capture key findings from STAR program activities and track progress of each finding
  • Compile monthly Operations Reviews based on analytics and input from team

 

AR duties / Other

  • Initiate collection follow-up of all unpaid or denied claims with the appropriate Payer; research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer
  • Identify root cause of claim exceptions - resolve - and / or escalate issues as appropriate for prompt and effective resolution
  • Maintain knowledge of ESRD/MSP laws and changes
  • Ensure new patient insurance records are established timely and accurately and maintained properly to ensure accurate billing for treatments and services provided
  • Ensure the timely procurement of initial payer authorizations and reauthorizations for treatments and services provided to ensure payment to DaVita
  • Coordinate responsibilities related to insurance verification and billing needs for newly-acquired centers and DeNovos
  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
  • Drive special projects and other responsibilities as assigned
  • Some light travel 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 across the nation.

Qualifications

  • 2 - 5 years experience working in a corporate setting. Medical billing and/or collections strongly preferred.
  • Bachelor's degree in related area required; degree in Business or Finance preferred. MBA a plus!
  • Intermediate computer skills in Microsoft Office suite programs (Word, Excel); prior experience using electronic billing system strongly preferred
  • Demonstrated ability to write effective, clear correspondence and effectively present information in one-on-one and small group situations to customers, clients, and other teammates of the organization
  • Demonstrated strengths in organizational, attention-to-detail, follow-through, sound reasoning, critical thinking, and innovative problem solving skills
  • Ability to manage multiple projects, deadlines, and priorities in a fast-paced, ever-changing and evolving work environment with shifting time frames
  • Innovative, analytical thinker with demonstrated ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives
  • Demonstrated expertise in business and leadership skills
  • Demonstrated ability to create, refine, and manage new business processes
  • Willingness and desire to create a team learning environment and to foster a positive, fulfilling work environment

Position Summary

  • Job Title: Supervisor, Revenue Cycle
  • Job Function: Billing / Collections / Insurance
  • Location: 2000 16th Street, Denver, Colorado