CO Salary Range: USD 18.50 - 27.00 per hour
2000 16th St, Denver, Colorado, 80202-5117, United States of America
Sr. Patient Resources Representative (Hybrid/Remote)
Would you like to work for a company with Core Values such as TEAM and FUN? Do you want your daily work to make a difference? Are you looking to build your career in healthcare? Then, join our growing team, which offers abundant opportunities to develop your professional and personal skills, advance your career, and positively impact our patients' lives.
DaVita is currently looking for an experienced Sr. Patient Resources Representative for our call center! We are currently seeking and interviewing ambitious and team-oriented, analytically-minded individuals who enjoy problem-solving, critical thinking, researching and collaboration in a fast-paced and FUN work environment!
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Individuals who excel in this role are highly ambitious, results driven, and comfortable thinking "outside the box" and want to find the missing puzzle piece. In this role you will develop and maintain relationships with various insurance companies as you resolve claim accounts on behalf of our patients. As a DaVita representative you will act on behalf of our company and patients to collect payment from insurance companies on outstanding patient account balances, research and resolve problem accounts as needed, and maximize collections to achieve collection performance goals and contribute to our mission of giving life.
About the Role & Schedule:
- 8-hour shift (Overtime available); 6:00 AM PST -3:00 PM PST
- Monday -Friday
- This position is 90% remote and requires 1 day per week in the office; Seeking a candidate in or near Irvine, CA or Denver, CO
- All necessary equipment is provided
- Work with insurance payers to research and take appropriate actions to resolve claim denials, rejections, and underpayments on behalf of our patients' accounts; Research and resolution include but are not limited to phone and email exchanges with insurance payer or our clinics, submit appeals, in addition to the utilization of payer web portals and navigating between several internal applications
- Intake and make outbound calls with insurance carriers regarding patient claims
- Uses critical thinking, problem-solving and analytical skills to determine the root cause and/or trends of our non-paid claims or underpayments from insurance payers and follow appropriate policy and procedure to remediate
- Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
- Develop and maintain positive working relationships with clinical personnel, fellow teammates, and insurance representatives
- Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
- Comfortability talking on the phone is a must!
- Required:
- Highschool Diploma or equivalent
- Healthcare and medical billing/collections/denial remediation experience
- Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook
- Preferred:
- Associates or Bachelor's degree
- Demonstrated history of resolving challenging issues
- Ability to research and problem solve, using analytical and critical thinking skills
- Deeply built values of TEAM!
- With DaVita, you have the chance to work hard, be competitive, and have FUN doing it. AND you'll never have to wear a tie again!
- A "community first, company second;" a culture based on Core Values that really matter
- A Fun, relationships-based culture-patient- and teammate-driven team
- 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
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.
Salary/ Wage Range
$18.50 - $27.00 / hour
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits