Quality Assurance Analyst (IT)

A Registration Specialist validates patient insurance information provided by facilities, through the patient intake process, to complete the patient registration process. This teammate ensures timely and accurate claims submission for assigned dialysis centers within a geographic region in accordance with DaVita policies and in compliance with federal and state billing regulations.

Essential Duties and Responsibilities:

• Initiate and/or maintain ongoing communication with facilities to ensure timely and accurate receipt of each patient’s insurance coverage information

o Enter insurance information into billing system

• Verify patient insurance with payors including eligibility and benefits related to outpatient kidney dialysis

o Update Patient Registration and associated systems accurately and as required

• Coordinate and partner closely with Patient Referral Coordinators (PRC) to obtain required documentation for successful patient registration

o Partner with facility and Insurance Management Team to resolve incomplete registrations

• Review registration denials received to determine root cause

o Resolve patient account errors that cause registration denials o Help identify process changes to prevent failed registrations

• Determine Coordination of Benefits as required; maintain current patient account information at all times

o Follow-up as necessary to ensure insurance changes are verified and line of coverage is reset

• Submit internal requests, including but not limited to RCUs, SMARTFORMS, PCS Inquiries, SPA Requests, etc., to ensure accurate and timely claims submission to the correct payor
• Complete all ancillary reports and assigned projects within established timeframes
• Support Patient Account Representatives and other ROPS teammates as needed
• Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and DaVita policies
• Other duties and responsibilities as assigned including but not limited to:

o Work overtime with little or no notice as needed o Attend team meetings, phone conferences, and training as needed o Know, understand, and follow teammate guidelines, employment policies, and department or company procedures

• Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position

Here is what you can expect when you join our Village:

• 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.

Do you have experience in Microsoft Word?, Do you have a High school diploma or GED?, * Dedication, above all, to caring for patients suffering from chronic kidney failure around the world. * High school diploma or equivalent required

• Minimum of three (3) years’ healthcare reimbursement experience preferred ; experience with admissions, billing, and collections preferred
• Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
• Basic computer skills and proficiency in MS Word, Excel, and Outlook required

Pulled from the full job description

• Parental leave
• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance
• Employee assistance program, 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.

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 comply with state and federal affirmative action requirements. 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.

This position will be open for a minimum of three days.

The Wage Range for the role is $24.00 - $36.50/hour.

If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.

New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour

Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

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