Underpayment Analyst

📋 Description

• Analyze hospital claims using established procedures, technology-enabled worklists, and internal
• Investigate underpayments and payment variances by examining potential coding errors, billing
• Contact insurance carriers to obtain missing information, clarify payment decisions, resolve
• Prepare and submit the documentation required to support reimbursement recovery, including letters
• Maintain accurate and comprehensive records of underpayment investigations, root causes, resolution
• Interpret and apply relevant payer reimbursement guidelines, including Medicare, Medicaid, and

🎯 Requirements

• High school diploma or equivalent is required.
• Strong investigative, analytical, and problem-solving skills, with the ability to identify payment
• Working knowledge of healthcare billing, medical coding, and reimbursement methodologies, including
• Ability to interpret and apply Medicare, Medicaid, and commercial insurance policies, along with
• Familiarity with healthcare compliance requirements, including HIPAA, Centers for Medicare &amp
• Experience using healthcare billing systems, databases, or electronic health record platforms such

🎁 Benefits

• Remote work: Full-time remote opportunity for eligible candidates residing in approved U.S. states.
• Comprehensive onboarding: A structured 90-business-day training program beginning on the first day
• Professional development: Opportunities to strengthen healthcare reimbursement knowledge, claims
• Collaborative environment: A supportive team culture that encourages knowledge sharing, innovation
• Meaningful impact: The opportunity to help hospitals recover appropriate revenue and support the
• Inclusive workplace: A commitment to equal employment opportunities and a professional environment