DaVita Revenue Cycle Supervisor in Denver, Colorado

The Revenue Cycle Supervisor assists the Revenue Manager in the supervision of patient admissions, billing and collections activities of a team responsible for the accounts receivable of assigned dialysis centers within a geographic region in accordance with company policies and in compliance with federal and state billing regulations. This position would have direct reports and would be responsible for daily follow-up and would be involved in weekly leadership meetings with Managers and Directors.

Responsibilities:

Team Oversight

  • Monitor work of Revenue Associate's and Patient Access Associate's to:

  • Ensure that accounts receivable is an accurate reflection of what is collectible and that teammates identify and adjust uncollectible balances accurately and timely with the appropriate approvals

  • Ensure timely submission of primary, secondary and tertiary insurance claims

  • Ensure AR exceptions are solved at root cause

  • Ensure timely and accurate patient registrations including insurance verification, authorization, referrals, and ongoing maintenance of eligibility with existing patients

  • Review and approve adjustments as appropriate

  • Ensure team follows documented policies and procedures, including SOX narratives, and conduct SOX control activities, as appropriate

  • Supervise daily activities of direct reports

  • Provide clear and direct guidance to teammates on questions and expectations

  • Attend meetings and make presentations as needed

  • Assimilate new staff into department. Administrative duties for new hire - email communications, meet and greet, budget changes, action notices etc.

  • Ongoing training for existing team

  • Monitor performance of team. Continue to create metrics and yearly goals. 1-1 meetings to discuss progress, issues, career path. Continued mentoring of team.

Analytics / Strategy

  • Review daily, weekly and monthly key metrics to identify trends or areas of focus; work with Revenue Manager to develop, document and implement action plans, as appropriate, to address issues

  • Establish and facilitate regularly scheduled meetings with manager to discuss key success metrics regarding billing activity, DSO, account setup requests, denials and A/R reports

  • Maintain current and thorough understanding of dialysis reimbursement and industry norms; monitor payment trends, escalating issues, concerns and changes in payer behavior reporting as appropriate to Revenue Manager

  • Maintain current familiarity with payer contracts applicable to the geographic / contractual responsibilities of the team

  • Facilitate STAR cross-functional meetings; follow-up on action items and drive resolution

  • Capture key findings from STAR program activities and track progress of each finding

  • Compile monthly Operations Reviews based on analytics and input from team

  • Effectively resolve and/or orchestrate across the revenue cycle all issues or concerns regarding claims processing and billing issues. Proactively anticipate upcoming concerns/events and work with assigned center / payers to prevent/mitigate

AR duties / Other

  • Initiate collection follow-up of all unpaid or denied claims with the appropriate Payer

  • Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate payer

  • Respond to payer communications with appropriate action in timely manner

  • Identify root cause of claim exceptions - resolve - and / or escalate issues as appropriate for prompt and effective resolution

  • Maintain knowledge of ESRD/MSP laws and changes

  • 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

  • Coordinate responsibilities related to insurance verification and billing needs for newly-acquired centers and DeNovos

  • Minimize bad debt by ensuring timely follow-up of unpaid claims, resolution of denials and other payer-related correspondence

  • Collaborate closely (in conjunction with Manager) with internal Revenue Operations teams to obtain needed information / updates to bill payers

  • 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

  • Drive special projects and other responsibilities as assigned

  • Some light travel required

MINIMUM QUALIFICATIONS

(Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required):

  • 2 - 5 years experience working in a corporate setting. Medical billing and/or collections strongly preferred.

  • Bachelor's degree in related area required; degree in Business or Finance preferred. MBA a plus!

  • Intermediate computer skills in Microsoft Office suite programs (Word, Excel); prior experience using electronic billing system strongly preferred

  • Demonstrated ability to write effective, clear correspondence and effectively present information in one-on-one and small group situations to customers, clients, and other teammates of the organization

  • Demonstrated ability to deal with problems involving several concrete variables in standardized situations

  • Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively

  • Demonstrated ability to work well with cross-functional groups

  • Demonstrated interpersonal, collaborative, and relationship-building skills

  • Approachable and open

  • Demonstrated ability to communicate difficult or sensitive information tactfully

  • Proven ability to collaborate across functions and with all levels of the organization

  • Demonstrated strengths in organizational, attention-to-detail, follow-through, sound reasoning, critical thinking, and innovative problem solving skills

  • Ability to manage multiple projects, deadlines, and priorities in a fast-paced, ever-changing and evolving work environment with shifting time frames

  • Innovative, analytical thinker with demonstrated ability to perform root cause analysis, prepare and implement action plans, and lead improvement initiatives

  • Demonstrated expertise in business and leadership skills

  • Demonstrated ability to create, refine, and manage new business processes

  • Demonstrated ability to work effectively at both detail and big-picture levels and to drive projects forward

  • Ability to provide multi-level reporting and communication

  • Willingness and desire to create a team learning environment and to foster a positive, fulfilling work environment

  • Demonstrated ability to provide a balance to department efficiency and field service excellence

  • Willingness to assist teammates in order to achieve departmental goals

  • Demonstrated strengths in teambuilding and leadership skill