This position researches and resolves high complexitycollection accountbalances according to DaVita policies and proceduresand compliance with federal and state billing regulations.This position also provides ongoing training and guidance for Specialist Patient Accountteammates, andperformsdata trending analysis,quality assurancereviewsandreviewof key metrics.

SUPERVISORY RESPONSIBILITIES:No

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following duties and responsibilitiesgenerally reflectthe expectations of this position butare not intended to be all-inclusive.

• Review, weekly and monthly key metrics toidentifytrends or areas of focus; work with Managementto develop, document, and implement action plans to address issues

• Identifypayer trends and or root cause of billing or claim exceptions; takeappropriate stepsto resolve and/or escalate issues to minimizebad debt

• Identifyand interpret policies related to exceptions

• Determineand applyappropriate businessaction in absence of policies or in cases of ambiguity

• Escalate issues as needed; provide recommendations

• Act as resource for teammate’s questions andassistwith issues of focusand problematicpayer issues

• Train new teammates

• Identifytraining opportunities to improve individual and team performance; perform one-on-one and group training as needed

• Recommend changes on collection teams, tools,policiesand procedures

• Perform all close reconciliation approvals and related activities to ensuretimelysubmission of primary,secondaryand tertiary insurance claims Serve asa subject matter expert for close

• Reviewand approve adjustments andclaims appealssubmittedby Specialist of Patient Accounts

• Conduct quality assurance reviewsof work outputand provide feedback to teammates and management; offer suggestions for improvement

• Ability to manageandlead multiple projects, meet deadlines, and adjust priorities appropriately in ahigh pacedwork environment.Support department initiatives.

• Stay abreast of changes toESRD and Medicare Secondary Provider laws and changes

• Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving

• Ability to interact positively with all levels of the company

• Maintain confidentiality of allpatient, teammate, and company informationin accordance withHIPPA regulations and DaVita policies

• Know, understand, and follow DaVita teammate handbook, employment policies, safety andsecurity policy and procedures

• Other duties and responsibilities as assigned including but not limited to:

• Consistent,regularand punctual attendance as scheduled

• Overtime may berequiredto ensuretimelycompletion of tasks and required duties

• Attend team meetings, phone conferences, and training as needed

• Know, understand, and follow department or company procedures

• Embrace the DaVita culture by activelyparticipatingin village and neighborhood initiatives

• Demonstrate DaVita’s core values in all aspects of your role

• Less than 5% travelrequired

MINIMUM QUALIFICATIONS

Education, licenses, certifications,and experiencerequiredto fulfill the essential duties,includecomputer skills asrequired

• High School diploma or equivalent required

• Two to four years’ experience in healthcare reimbursement and revenue cycle management preferred

• Intermediateproficiencyin MS Excel,Wordand PowerPoint