Manager, Revenue Operations – ROPS

Role Overview

• This position manages the billing, third party insurance collections, and cash posting activities for multiple teams responsible for reimbursement operations and accounts receivable (A/R) for DaVita Rx pharmacies in accordance with company policies and in compliance with federal, state, and SOX regulations.
• Manage work of teammates and participate as necessary to ensure goals are met within established policies and procedures
• Manage the Third-Party Billing and Collections team to minimize Third-Party A/R
• Ensure appropriate controls and procedures are in place to guarantee timely and accurate billing and collections practices
• Manage the Cash Posting team to ensure all Third-Party (Insurance) and Patient payments are applied in accordance with company policies
• Complete weekly reconciliation of payments received and posted to meet Cash Controls and SOX compliance requirements
• Ensure patient billing statements are produced accurately and mailed timely each month
• Manage the Medicare Part B Billing team to ensure billing and collecting on Medicare Part B items (as well as resulting secondary billable items) are completed timely, accurately, and in compliance with all laws and regulations
• Review daily, weekly, and monthly key metrics to identify trends or areas of focus; Maintain confidentiality of all patient, teammate, and company information in accordance with HIPAA regulations and DaVita policies
• Collaborate closely and in conjunction with Director with other DaVita Rx departments and teammates as well as with DaVita facility teammates as necessary for the overall benefit of patients and achievement of mutual goals
• Maintain current knowledge of all laws, regulations, and changes that may impact the Reimbursement Operations team

Requirements

• Bachelor’s degree in Business, Accounting, or related field required
• Minimum of five (5) years experience managing Accounts Receivable (A/R) in a healthcare provider setting
• Demonstrated, detailed knowledge of and managerial oversight for Medicare Part D, Medicare Part B, Medicaid and Commercial Insurance billing and collections activities for plans across multiple states required
• Advanced computer skills and proficiency in MS Word, Excel, Access, and Visio required; intermediate proficiency with Outlook required; basic proficiency in PowerPoint preferred; prior experience using electronic billing system strongly required

Benefits

• 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.