ROPS Specialist II (Healthcare Insurance Collections)(Lab)

Job description

Posting Date 04/14/2026 3000 DaVita Way, Deland, Florida, 32724-2039, United States of America GENERAL PURPOSE OF THE JOB: The ROPS Specialist II, Collections (Lab) is to secure maximum reimbursement on all claims based on payer terms. Applies the knowledge and skills to complete a wide range of tasks at a level which meets department standards and ensures goals and objectives are achieved. Ensures claim adjustments are applied using the appropriate payer terms and based on department guidelines. Adheres to DaVita policies including corporate compliance and all rules and regulations under the applicable local, state, and federal agencies and accrediting bodies. This position reports to the Supervisor, Patient Accounting (Lab). ESSENTIAL DUTIES & RESPONSIBILITIES: Initiates collection follow up of all denials with insurance payer to ensure proper reimbursement on claims. Researches, appeals, resolves claim rejections and underpayments with the payer based on payer terms. Responds to written payer communications with appropriate action in timely manner; Processes claims, re-bills and appeals; Requests medical documentation from facilities; Types, scans (files in electronic claims lib...