Revenue Lead, ROPS
Core
Researches and resolves high-complexity insurance coverage discrepancies, performs data trending analysis, and provides training/guidance for revenue specialists.
Role type
Senior IC revenue cycle management lead
Builds
Accurate billing and coverage resolution processes for DaVita patients
Domain
Healthcare / Insurance Reimbursement
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare reimbursement expertise, revenue cycle management, data trending analysis, quality assurance reviews, policy interpretation, root cause analysis, team coaching, project management, MS Excel/Word/PPT proficiency
Preferred skills
Team leadership experience, change management
Technologies
MS Excel, MS Word, MS PowerPoint
Responsibilities
Review weekly/monthly key metrics to identify trends and develop action plans; Identify payer trends and root causes of denials to resolve issues; Interpret policies and apply business actions in ambiguous cases; Onboard and coach new teammates; Conduct quality assurance reviews of work output; Manage multiple projects and adjust priorities in a high-paced environment; Stay abreast of policy updates impacting coverage setting.
Seniority
Mid-level, hands-on IC with some leadership responsibilities
