Davita
Healthcare
RevenueSpecialistII(ROPS)
“Revenue Specialist II (ROPS) at Davita. Skills: Claim resolution, Payer appeals, Account reconciliation. Investigate and resolve complex negative receipts. Coordinate payment postings”
Industry & Context.
Research; Problem solve; Root cause analysis
What They're Looking For.
Must Have
High school diploma or GED, Healthcare and medical billing/collections experience, Intermediate computer proficiency in Microsoft Office
Nice to Have
Associates or Bachelor’s degree, Intermediate-to-advanced Microsoft Excel skills
What You'll Do.
Investigate and resolve complex negative receipts
Coordinate payment postings
Manage apply-back rules
Resolve general ledger discrepancies
Perform deep dives into recurring claim issues
Identify broader trends
Resolve bigger picture problems
Prevent future negative receipts
Submit formal appeals and escalation letters
Track payer responses
Audit patient accounts
Correct misapplied funds
Apply appropriate financial adjustments
Maintain high performance on core team metrics
How You'll Work.
Team & Collaboration
Internal teams; Insurance payers
Communication Scope
Payer outreach; Internal collaboration
Applying for this Revenue Specialist II (ROPS) role?
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