Davita

Healthcare

ROPSSpecialistII(Lab)

Deland, Florida, United States FULL TIME Remote Friendly
The Brief

“ROPS Specialist II (Lab) at Davita. Skills: Collections, Claim adjustments, Payer terms. Initiate collection follow up of denials. Research, appeal, resolve claim rejections”

What You'll Achieve.

Secure maximum reimbursement on all claims; Ensure goals and objectives are achieved

Industry & Context.

Healthcare
Problems you'll solve

Researches, appeals, resolves claim rejections and underpayments

What They're Looking For.

Must Have

Intermediate computer skills, Proficiency in MS Word, Proficiency in Excel, Proficiency in Outlook, Proficiency in an electronic accounts receivable system, High school diploma

Nice to Have

2-4 years experience

What You'll Do.

Initiate collection follow up of denials

resolve claim rejections

Respond to payer communications

Request medical documentation

Scan and mail appeals

Document daily follow up and communication

Escalate issues to lead and supervisor

Validate and request insurance changes

Retrieve assigned data

Prioritize based on AR guidelines

How You'll Work.

Team & Collaboration

Escalates issues to lead and supervisor

Communication Scope

Respond to written payer communications

Free ATS check

Applying for this ROPS Specialist II (Lab) role?

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