Medical Billing Appeals Analyst - Underpayment Recovery

Sharp HealthCare; San Diego (CA); On-site; USD 36,000 - 51,000; Full time

Job summary

Sharp HealthCare is seeking a billing analyst to lead appeals for underpayments and denials within a multi-specialty medical group in San Diego. You will escalate payer contractual issues and coordinate with management to improve payment outcomes.

This role requires strong analytical and mathematical skills, attention to detail, and excellent communication. Experience in billing and accounts management, familiarity with Excel and billing software, and knowledge of payer contracts are essential.

Qualifications

• Experience in billing and accounts management within a multi-specialty medical group.
• Strong analytical and mathematical skills.
• Detail oriented with a diligent work ethic.
• Excellent communication and interpersonal skills.
• Knowledge of government and non-government insurance billing procedures.

Responsibilities

• File appeals and PDRs for underpayments/denials.
• Identify trends and provide training data on underpayments.
• Reconcile inventory and generate ad hoc reports.
• Ensure accurate rates are loaded into the underpayment tool.
• Collaborate with Management to address denial trends and resolutions.

Skills

Analytical skills

Mathematical skills

Attention to detail

Communication

Team player

Interpersonal skills

Education

H.S. Diploma or Equivalent

Bachelor's Degree in Finance / Business / Economics

Tools

MS Excel

Billing software

Underpayment tool

Job description

Sharp HealthCare is seeking a billing analyst to lead appeals for underpayments and denials within a multi-specialty medical group in San Diego. You will escalate payer contractual issues and coordinate with management to improve payment outcomes.

This role requires strong analytical and mathematical skills, attention to detail, and excellent communication. Experience in billing and accounts management, familiarity with Excel and billing software, and knowledge of payer contracts are essential.