DaVita Careers

Claims Exception Analyst

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Position Description

Who is a DaVita Analyst?

They are the kind of person who enjoys getting to the root of a problem and organizing a collaborative effort to resolve it for good.  They love data and are skilled at identifying trends and key areas of opportunity.  Strong relationships are important to them and they work to cultivate them within their team and beyond.  They are driven, strong communicators, and find real fulfillment in challenging work.  They know that their contributions enable the DaVita village to give life to our patients and that fuels them to strive for ever greater results. 

What will you do in Production Control at DaVita Healthcare Partners?
As a member of the Production Control team, you will drive speed to payment and improved revenue yield by ensuring all claims are received by the payor timely and accurately.  Your day-to-day tasks will  include preparing and analyzing data to identify claim submission trends, driving exception reduction initiatives, and collaborating with internal and external partners on process improvement.

Your efforts will help DaVita’s Revenue Operations (ROPS) group to build a world-class claim submission and reconciliation capability.  To succeed, you will need to have a talent for tackling tough problems and collaborating with a cross-functional team to resolve them.  You will use your expertise in analyzing data to pinpoint key areas of opportunity and then lead efforts to convert them to wins.  You will be viewed as an informal leader within the team and beyond and will build partnerships at all levels throughout ROPS.  Your drive to exceed performance expectations will contribute to accelerated claim submission and exception reduction.

As an organization, we recognize and reward strong performance whenever possible.  Promotions are based on merit, putting you in control of your career growth.

Responsibilities may include, but are not limited to:
  • Independently develop and lead improvement initiatives in line with team goals
  • Collaborate with cross-functional teams to develop creative solutions to complex claim submission issues
  • Support the design, implementation, and management of process improvements to improve claim submission quality
  • Research, identify, and isolate issues through data extraction, manipulation, and analysis
  • Review claim histories, conduct supplemental research and analysis, and process large amounts of information in order to identify exception root cause
  • Identify payor trends
  • Identify, recommend, and enact opportunities for learning and development within the team

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 or 5+ years experience in related field required
  • 2+ years experience in healthcare reimbursement/collections preferred
  • Intermediate proficiency in Internet and MS Office environments (Word, PowerPoint, Access, Excel, and Outlook) and the ability and desire to advance technically required
  • Highly analytical with proven ability to extract, manipulate, and interpret data  required
  • Advanced experience working with healthcare billing and collections systems preferred
  • Talent for tackling problems from identification through resolution
  • Demonstrated capability to effectively drive projects forward with minimal supervision
  • Ability to manage multiple projects, meet deadlines, and adjust priorities appropriately
  • Excellent relationship building skills and aptitude for working collaboratively with cross-functional groups
  • Effectively thinks big picture and also has ability to drill down into the details
  • Strong communications skills; ability to listen attentively and to communicate information clearly and effectively
  • Proven ability to meet deadlines in a fast-paced environment
  • Self-starter with high degree of drive, initiative, and follow through
  • Role model of DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment, and Fun in everyday performance and interactions
 
ESSENTIAL BEHAVIORS, SKILLS, AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION
  • Commitment to DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Partners) in everyday performance and interactions
  • Strong written, verbal and interpersonal communication skills including ability to listen attentively and to communicate information clearly and effectively throughout all levels of the organization with audiences of varying degrees of familiarity with technical material.
  • Demonstrated ability to work well with cross-functional groups
  • Demonstrated interpersonal, collaborative, and relationship/team building skills that foster a positive work environment
  • Approachable and open
  • Ability to communicate effectively at all levels of the organization with professionalism and integrity
  • Demonstrative consultative skills when addressing complex inquiries from clients, vendors and customers
  • Ability to write reports, business correspondence, and procedures manuals clearly and in a manner end-users find “friendly”
  • Demonstrated strengths in the areas of attention to detail, follow through, analytical, reasoning, critical thinking, and problem solving skills
  • Strong Organizational skills, ability to manage multiple projects, meet deadlines, adjust and priorities workloads in a fast-paced, ever-changing and evolving work environment with shifting time frames
  • Ability to work with high degree of initiative, urgency, and follow through
  • Demonstrated ability to effectively present information in one-on-one and small group situations to customers, clients, and other teammates of the organization
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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WARNING: Job Recruitment Scam Notice
Please note that DaVita Careers has been made aware of a phishing, job recruitment scam in which third parties are fraudulently representing themselves as recruiters of our company.  These scammers are posting fake DaVita job openings and communicating with job candidates in an effort to obtain personal information and money.  Please follow link to learn more about this scam.

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 age, 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.
 
DaVita will consider qualified applicants who have criminal histories in a manner consistent with the law.

Position Summary

  • Job Title: Claims Exception Analyst
  • Job Function: Other - Corporate Office
  • Location: 2476 E Swedesford Rd, Ste 150, Malvern, Pennsylvania