Remote
Job Summary:
Team Phantasm is a specialized team within MS Collections focused on resolving negative receipts. Negative receipts occur when an insurance payer incorrectly takes back overpayments made to us. The Negative Receipt Specialist will play a vital role in researching claims, conducting payer outreach, and performing internal actions to resolve claims. We strive to recollect DaVita issued refund checks and understand payer behavior as it relates to Provider Level Adjustments and the GL1217. This position offers the unique opportunity to work on both active and void claims.
Key Responsibilities:
- Claims Research & Resolution: Investigate negative receipt issues, analyzing claims to identify the cause of overpayments and recollecting payments or correcting posting errors. Contact insurance payers to recover overpayments by facilitating the return of refund checks to DaVita or obtain missing payment details previously sent by the payer. Perform internal actions, such as cash corrections, research cash moves, and post payer exceptions from the GL1217.
- Manage Active & Void Claims: Handle both active claims and void claims, ensuring they are accurately researched and resolved.
- Collaborative Problem-Solving: Work closely with teammates and partner with other departments to identify and resolve claim issues related to posting errors and overpayment recoveries.
- Project Reporting: Identify payer trends and compile monthly POD AR Reviews to showcase top payer issues, actions being taken, and any questions or roadblocks encountered. Provide detailed reports to leadership to highlight key wins and challenges.
Qualifications:
- Ability to Work Independently and as Part of a Team: Demonstrated capability to thrive in a fast-paced environment, manage tasks independently, and collaborate effectively with team members.
- Positive Attitude: Maintain a constructive and solution-oriented mindset, even when faced with challenges.
- Commitment to Core Values: Live and promote DaVita’s core values and WE CARE behaviors, fostering a culture of respect, integrity, and collaboration.
- Problem-Solving: Strong critical thinking skills to address complex issues and find effective solutions.
- Strategic Thinking: Ability to think creatively and strategically, approaching challenges with an open mind and innovative solutions.
- Adaptability: Flexibility to navigate changes and adapt to evolving priorities in a dynamic environment.
Preferred Qualifications:
- Knowledge of DaVita’s systems and processes.
- Lateral Transfer for Revenue Specialist II or III DaVita Teammates
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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At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Salary/ Wage Range
$19.00 - $28.00 / hour
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. 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
