Revenue Lead, ROPS

Posting Date
10/09/20264474 23rd Ave SSte M, Fargo, North Dakota, 58104-8795, United States of America
The Revenue Lead for Team Lynx serves as the operational quality and governance anchor for AI-driven collections workflows (Project Nova) within Manestream Collections (ROPS) . This role is responsible for executing daily quality control audits across key system capabilities (PRM, DRC, NBA, and Appeals), leading in-depth root cause analysis on claim misclassifications, and translating system logic into actionable Best Demonstrated Practices (BDPs) for frontline operations . Working at the intersection of operations and technology, the Lead collaborates closely with cross-functional partners to vet system requirements, manage dispute resolution, and safeguard cash yield across collections lanes.
If you are local to any of our CBO's, onsite presence is required 1x month **
SUPERVISORY RESPONSIBILITIES: No
Essential Duties And Responsibilities
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive.
System Auditing & Quality Control: Weekly/monthly claim audits across Project Nova capabilities to evaluate system accuracy against source records.
Inaccuracy Root-Cause Analysis & Yield Protection: Deep-dive analysis into system failure modes (such as CARC/RARC mapping discrepancies, patient liability vs. rate mismatch, dual-coverage/DSP sequencing, and cash corrections) to protect collections yield .
Operational Documentation & BDPs: Authoring and maintaining technical Best Demonstrated Practices (BDPs) and job aids for every Nova release and patch update (e.g., NR patch releases) to guide frontline teams .
Cross-Functional Collaboration & SRS Vetting: Partnering directly with technology teams to review System Requirements Specifications (SRS), vet rule logic, test defect fixes, and validate data parity .
Dispute Management & Closed Feedback Loops: Managing the quality control dispute resolution process and ensuring operational feedback is addressed .
Identify payer trends and or root cause of billing or claim exceptions; take appropriate steps to resolve and/or escalate issues to minimize bad debt
Identify and interpret policies related to exceptions
Determine and apply appropriate business action in absence of policies or in cases of ambiguity
Escalate issues as needed; provide recommendations
Recommend changes on collection teams, tools, policies and procedures
Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts
Conduct quality assurance reviews of work output and provide feedback to teammates and management; offer suggestions for improvement
Ability to manage and lead multiple projects, meet deadlines, and adjust priorities appropriately in a high paced work environment. Support department initiatives.
Stay abreast of changes to ESRD and Medicare Secondary Provider laws and changes
Strong analytical skills, follow through; with the ability to seek underlying assumptions through probing, questioning, listening, and problem solving
Ability to interact positively with all levels of the company
Maintain confidentiality of all patient, teammate, and company information in accordance with HIPPA regulations and DaVita policies
Know, understand, and follow DaVita teammate handbook, employment policies, safety and security policy and procedures
Other duties and responsibilities as assigned including but not limited to:
Consistent, regular and punctual attendance as scheduled
Overtime may be required to ensure timely completion of tasks and required duties
Attend team meetings, phone conferences, and training as needed
Know, understand, and follow department or company procedures
Embrace the DaVita culture by actively participating in village and neighborhood initiatives
Demonstrate DaVita’s core values in all aspects of your role
Less than 5% travel required
Minimum Qualifications
Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required.
High School diploma or equivalent required
Two to four years’ experience in healthcare reimbursement and revenue cycle management preferred
Intermediate proficiency in MS Excel, Word and PowerPoint
ESSENTIAL BEHAVIORS, SKILLS AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION:
Commitment to DaVita’s values of Service Excellence, Integrity, Team, Continuous Improvement, Accountability, Fulfillment and Fun with ability to demonstrate those positively and proactively to patients, teammates, management, physicians, and/or vendors (Village Service Partners) in everyday performance and interactions
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.
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 $22.50 - $31.00/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/hourWashington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/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
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Beware of Recruitment Fraud
DaVita will never ask for payment or personal financial information at any point in the hiring process, nor will we ever communicate with you using email addresses outside of the DaVita secure network. If you receive a request like this, it is not legitimate. Do not share your information.
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Work arrangement
Yes