Revenue Lead, ROPS

**If you are currently working in the following ROPS Teams: ONEReg, Collections, Non-Con, Credits or Spectrum, we would love to connect with you about this opportunity**

A Revenue Lead working as part of Registration’s Coverage Change Queue team needs to have a deep knowledge related to the revenue cycle with a focus on the understanding of insurance and collections.  Payor Knowledge is a plus! The Lead in this role is expected to work independently post-training to ensure timely and accurate evaluations of coverage changes. This will ensure accuracy through appropriate approvals and or denials along with confirmation of entity affiliations to mitigate downstream impacts including the potential for inappropriate retractions or refunds.

Essential Duties & Responsibilities:

50% Lead Responsibilities

• Auditing
• Driving partnership collaboration (Escalations, Coaching opportunities)
• Onboarding new teammates/training
• Other duties as assigned

50% Research / Analysis/ Documentation (working alongside the team in the Queue)

• Review requested coverage changes and complete a detailed evaluation to ensure accuracy and appropriateness of proposed coverage (all coverage positions) based on account history, required data elements to coordinate benefits and eligibility. 
• Confirm coverage change reason is accurate.
• Once the correct coverage is determined, a detailed review is required for paid claims to evaluate whether the payments were made by the correct payor to mitigate inappropriate retractions or refunds
• Clearly and concisely document account evaluation and determination in Reggie/ NS notes to create clarity and understanding for downstream partners
• Identify process changes and opportunities for continuous improvement based on root causes of coverage changes

Other duties as assigned; including but not limited to:

• Attend and facilitates team meetings, phone conferences, and training as needed
• Know, understand, and follow teammate guidelines, employment policies, and department or company procedures including SOX documentation and practices

Minimum Requirements:

• High school diploma or equivalent required, bachelor's degree preferred
• Revenue cycle experience required
• Strong analytical thinking and problem-solving skills required

What We’ll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• 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: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

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