GENERAL PURPOSE OF THE JOB

The ROPS Coordinator I (Lab) performs a variety of administrative and support duties for multiple departments throughout Patient Accounting. This role requires strong organizational and communication skills. Must have the ability to multitask and navigate through high volume work. Must be proficient in the use of Microsoft Applications and have internet research abilities as well as intermediate software skills. Completes specialized tasks that require critical thinking and independent decision making. Must have a substantial understanding of the job and applies knowledge and skills to complete a wide range of tasks. This position reports to the Supervisor or Manager, Patient Accounting.

ESSENTIAL DUTIES & RESPONSIBILITIES

1. Contact payers who are processing hardcopy claims or submitting manual payments and initiate conversion to electronic by filing required paperwork. Pull down electronic remittance advice from payer websites for processing. Oversee Payor Internet Accesses and applicable spreadsheet as requested from Patient Accounting Teammates.
2. Process appeal letters, patient statements, authorization paperwork and STAT/PPS denial letters. Scan images and maintain electronic library for appeals and STAT/PPS Invoices. Process all hardcopy claims, pull medical documents as needed for payer requirements, and pull remittance advice for secondary claims.
3. Create refund packets by pulling EOBs, printing applicable letters and adding the information to reversal tracking spreadsheet.
4. Process daily incoming mail by sorting per the policy and procedure while ensuring the mail gets delivered to the appropriate department. Research returned mail, including patient statements, or checks that have been returned by recipient by pulling necessary documentation and distributing to appropriate department or teammate for review and reprocessing.
5. In preparation for data entry into the database system, research invoices received from hospital/laboratory to confirm patient was referred by a DaVita facility for lab work.
6. Performs other duties as assigned.

EDUCATION AND EXPERIENCE

High school diploma or equivalent required. Minimum of 1+ years’ experience in the healthcare industry with provider billing, collections and/or payer experience required. Knowledge of appeals process and claim systems strongly preferred. Typing is a must. Intermediate computer skills and proficiency in MS Word, Excel, Outlook, and ability to use Internet effectively a must.

About DaVita Laboratories

DaVita Labs is a state-of-the-art clinical laboratory delivering timely, accurate lab results focused primarily on kidney care with a relentless commitment to quality. We serve more than 180,000 patients and perform 52 million renal tests annually. We make a difference. We enjoy what we do. Our teammates are best in class professionals who enjoy a challenging yet rewarding work environment where fun and hard work intermingle every day. From our laboratory professionals to our support roles, DaVita labs not only offers a career to fit each individual, it provides a community and a place to call home. As a labs teammate, you become a member of our community and you also become a citizen of something bigger, something great, and something unique - the DaVita Village. With the backing of the overall DaVita brand, we are on an exciting trajectory.

Check out our short video to hear directly from teammates as to why YOU should join OUR Village!

What We’ll Provide:

• A "community first, company second" culture based on Core Values that really matter.
• 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.

Want to make an impact in Healthcare? Through science, technology, quality and education, we are committed to expanding discovery and empowering lives. This empowerment comes in many forms. From our laboratory professionals to our support roles, DaVita labs not only offers a career to fit each individual, it provides a community and place to call home. Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has Ever Seen."

Why wait? Explore a career with DaVita today.

Go to http://careers.davita.com to learn more or apply.