Insurance Claims Specialist (Remote)

2000 16th St, Denver, Colorado, 80202-5117, United States of America

Schedule: Monday-Friday | Remote

Full-time, Permanent Opportunity | Flexible Scheduling | Community-based Work Culture | Overtime as Needed

DaVita is the nation’s largest independent provider of dialysis services. We provide comprehensive care and complex chronic condition management to patients across the globe, whether they are in the early stages of kidney disease, transitioning to dialysis, seeking a kidney transplant or receiving life-sustaining dialysis. DaVita is Italian for “giving life” and we take pride in providing quality service to our patients.

DaVita is currently looking for a Senior Collection Specialist. Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking "outside the box". In this role you will develop and maintain relationships with insurance companies. Acting on behalf of DaVita you will collect payment from insurance companies on outstanding patient balances, research and resolve problem accounts as needed, and maximize collections to achieve collection performance goals.

This is a fully remote position. All necessary equipment and training to be successful in this position will be provided.

Essential Functions and Responsibilities:

• Contributes to implementation of process improvement initiatives aimed at the collections department
• Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve outstanding AR debit balances
• Respond timely and accurately to payer communications
• Identify trends and perform root cause analysis on unpaid and underpaid claims
• Uses strong organizational skills to effectively manage large amounts of detailed information
• Collaborate with other revenue operations teams to ensure seamless processes across teams
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Research, initiate follow-up and resolve all health care insurance claim accounts with existing debit balances
• Address patient benefit-related denials, including phone verification of plan requirements, financial risk, as well as other factors that may impact reimbursement
• Use critical and analytical problem solving skills to resolve issues
• Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Minimum Qualifications:

• High school diploma or GED, required
• Ability to research and problem solve, using analytical and critical thinking skills
• Associates or Bachelor’s degree, highly preferred
• Experience with healthcare insurance claims is preferred
• Intermediate computer proficiency in Microsoft Office including: Word, Excel, and Outlook is required
• 2+ years health care and medical billing/Full Revenue Cycle experience is required
• Deeply built values of TEAM!
• Demonstrated history of resolving challenging issues

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

Salary/ Wage Range

$17.50 - $30.00 / hour

Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

• If this position is located in a region with minimum wage requirements, we will not pay less than the applicable minimum wage: Denver: $17.29/per hour for nonexempt roles, Colorado: $50k/year for exempt roles.