*** Revenue Analyst
*** Revenue Analyst - Denver CO
Revenue Analyst Revenue Analyst will be responsible for business process design and re-engineering projects related to DaVita's revenue operations. Revenue Analyst serves as DaVita's expert internal resource for escalation, communication and resolution of complex payor and billing issues; payor research in both new and known markets, and leadership and coordination of cross functional projects. His/Her success will create a scalable revenue operations department that applies the best of technology, standardization and aggregation to healthcare processes. The Revenue Analyst will manage a book of business to understand and test new processes and system solutions. He/She will utilize innovative problem solving tactics in order to maximize collections and achieve collections performance goals and avoid exceptions. Essential Duties and Responsibilities: Serve as an inter-department resource and subject matter expert on payor related projects and implementations as relates to claims submission and reimbursement set up Define policies, procedures, training and documentation requirements to support effective, well communicated and timely process/policy changes Ensure that DaVita remains at the forefront of industry and payor changes that impact the revenue cycle and our ability to submit the cleanest claims Meet tight deadlines in a time sensitive and resource constrained project environment Independently investigate and document complex payor and clearinghouse operating procedures Develop innovative solutions to complex billing problems and provide recommendations with regard to new initiatives Identify, recommend and enact opportunities for learning and teaching within the department Strong organizational skills with an ability to effectively manage large amounts of data to analyze and identify opportunities based on the findings Quickly learn current processes and constraints to develop vision for optimal business processes related to the revenue cycle Provide data-driven analysis and define business opportunities Achieve radical, measurable performance improvements in a scaled operation Illustrate past experiences in process improvement and strategic quantitative analyses Initiate collection follow-up of all unpaid or denied claims with the appropriate payor Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payor Respond to payor communications with appropriate action in timely manner Make key recommendations and decisions for resolution with payors Identify root cause of claim exceptions - resolve - and / or escalate issues and make recommendations for business action as appropriate for prompt and effective resolution Responsible for interpreting policy as it relates to exceptions and make key decisions on business actions to resolve Meets with manager to discuss key success metrics and establish deliverables Maintain knowledge of ESRD/MSP laws and changes Coordinate responsibilities related to insurance verification and billing needs for newly-acquired centers and DeNovo's Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials and other payor-related correspondence Participate in regularly scheduled meetings with supervisor / manager to discuss key success metrics regarding billing activity, DSO, account setup requests, denials and A/R reports Collaborate closely (in conjunction with Manager) with internal Revenue Operations teams to obtain needed information / updates to bill payors Become proficient in all areas of revenue cycle and support other functions as needed below: Ensure new patient insurance records are established timely and accurately and maintained properly to ensure accurate billing for treatments and services provided Ensure the timely procurement of initial payer authorizations and reauthorizations for treatments and services provided to ensure payment to DaVita Develop and maintain strong relationships with internal operational constituents Monitor Direct Data Entry Internet access into Medicare claims system to ensure timely and accurate resolution of outstanding claims Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies Some light travel required Drive special projects and other responsibilities as assigned Bachelors degree or equivalent experience Healthcare background and experience highly desirable and preferred Previous project management experience highly desirable and preferred Proven ability to work independently to achieve goals Proven ability to own and be responsible for key projects and processes Superior problem solving and analytical skills Strong organizational skills with an ability to effectively manage large amounts of detailed information Ability to work on several projects simultaneously Excellent written and verbal communication skills Ability to complete projects with tight deadlines and time constraints Ability to influence peers on other teams and build strong relationships across organizations Ability to demonstrate poise and assertiveness in holding co-workers to project deadlines Willingness to vary job responsibilities as required to meet the business needs Intermediate computer proficiency in all Microsoft Office applications, including Outlook, Word, Excel and PowerPoint Here is what you can expect when you join our Village: A "community first, company second" culture based on Core Values that really matter. Clinical outcomes consistently ranked above the national average. Award-winning education and training across multiple career paths to help you reach your potential. Performance-based rewards based on stellar individual and team contributions. A comprehensive benefits package designed to enhance your health, your financial well-being and your future. Dedication, above all, to caring for patients suffering from chronic kidney failure across the nation.