DaVita Careers

REVENUE OPERATIONS QUALITY ANALYST

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Position Description

DESCRIPTION

 

Responsible for formatting of electronic claims and successful delivery of the claims to the clearing house; Tasks include QA and testing for bill templates in the billing systems and bridge routines, print commands, and mapping tables in the claim management software; Create and refine workflows for the team for achieving optimal performance; Ensure that claims created and sent out to payers conform to HIPAA standards; Provide assistance to claim review and billing review teams in optimizing and enhancing revenue collection by addressing payer requirements for billing; Utilize knowledge of claim adjudication and coordination of benefits to streamline revenue enhancement efforts; Test changes in processes to accommodate new HIPAA formats, e.g 5010, 7030, etc. ; Define analytical strategies for the verification and validation of the billing systems and ensuring that it meets all defined business requirements and associated functionality; Support all Setup teams and overall ROPS by serving as experts on claim formatting requirements (X12, NUBC, NUCC, etc.); Ensure all billing requirements are understood and tested thoroughly; Complete quality assurance for changes to claim formats including 837 transactions, paper claim formats, ePremis bridge routines, print commands, mapping tables, etc.; Document QA results thoroughly and ensure that all back up documentation is complete and accurate; Provide QA training documentation and provides oversight of teammate's speed and accuracy during the training period; Assist the team lead in streamlining and improving quality assurance processes by providing feedback and writing updated policy and procedures; Manage projects related to upgrades to Relay Health releases and report out to team leader and leadership on progress; Participate in testing billing system releases; Test upgrades for existing 837I/837p EDI X12 transaction processes


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

QUALIFICATIONS

Require a Master degree in Electronics & Communication Engineering or Electrical Engineering or a related field and 2 years work experience in the job or in related occupation.

 
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.

Learn More: http://careers.davita.com/JobRecruitmentScamNotice 

 

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: REVENUE OPERATIONS QUALITY ANALYST
  • Job Function: Other - Corporate Office
  • Location: 2000 16th Street, Basking Ridge, New Jersey