Senior Analyst, Corporate
Description:
• Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient's insurance coverage information and enter insurance information into billing system
• Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis and update Patient Registration and associated systems
• Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration and partner with facility and Insurance Management Team to resolve incomplete registrations
• Review registration denials to determine root cause, resolve patient account errors that cause registration denials, and help identify process changes to prevent failed registrations
• Determine Coordination of Benefits as required and maintain current patient account information; follow-up as necessary to ensure insurance changes are verified and line of coverage is reset
• Submit internal requests (RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc.) to ensure accurate and timely claims submission to the correct payor
• Complete all ancillary reports and assigned projects within established timeframes and support Patient Account Representatives and other ROPS teammates as needed
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Attend team meetings, phone conferences, and training as needed; work overtime with little or no notice as needed; know, understand, and follow teammate guidelines, employment policies, and department or company procedures
• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
Requirements:
• High school diploma or equivalent required
• Minimum of three (3) years' healthcare reimbursement experience preferred
• Experience with admissions, billing, and collections preferred
• Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
• Basic computer skills and proficiency in MS Word, Excel, and Outlook required
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Ability to work overtime with little or no notice as needed
• Consistent, regular, punctual attendance as scheduled is an essential responsibility
Benefits:
• A "Community first, Company second" culture based on Core Values that really matter.
• Performance-based rewards based on stellar individual and team contributions.
• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment.
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more.
• Professional development programs: variety of programs, on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
• Competitive total rewards package, including a 401k match, healthcare coverage and a broad range of other benefits.
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