Davita
Analyst,Business(ROPS)
“Analyst, Business (ROPS) at Davita. Skills: Process management, Cross-functional coordination, Vendor management, Stakeholder management. Validate patient insurance information. Complete patient registration process”
What You'll Achieve.
Timely and accurate receipt of each patient's insurance coverage information; Timely and accurate claims submission; Accurate and timely claims submission to the correct payor; Prevent failed registrations
Industry & Context.
Resolve patient account errors that cause registration denials
Work overtime with little or no notice as needed
What They're Looking For.
Must Have
High school diploma or equivalent, Basic computer skills, Proficiency in MS Word, Proficiency in MS Excel, Proficiency in MS Outlook
Nice to Have
Three (3) years' healthcare reimbursement experience, Experience with admissions, Experience with billing, Experience with collections, Knowledge of insurance rules, Knowledge of insurance regulations, Knowledge of Coordination of Benefits for federal payors, Knowledge of Coordination of Benefits for state payors, Knowledge of Coordination of Benefits for managed care payors in multiple states
What You'll Do.
Validate patient insurance information
Complete patient registration process
Ensure timely claims submission
Ensure accurate claims submission
Initiate and maintain communication with facilities
Enter insurance information into billing system
Verify patient insurance with payors
Update Patient Registration systems
Coordinate with Patient Referral Coordinators
Resolve incomplete registrations
Review registration denials
Determine Coordination of Benefits
Maintain current patient account information
Submit internal requests
Complete ancillary reports
Complete assigned projects
Support Patient Account Representatives
Support ROPS teammates
Maintain confidentiality of company information
Maintain confidentiality of patient information
Attend phone conferences
Follow teammate guidelines
Follow employment policies
Follow department procedures
Follow company procedures
Maintain consistent attendance
How You'll Work.
Team & Collaboration
Coordinate and partner closely with Patient Referral Coordinators (PRC); Partner with facility and Insurance Management Team; Support Patient Account Representatives and other ROPS teammates
Communication Scope
Initiate and/or maintain ongoing communication with facilities
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