Remote Healthcare Underpayment Analyst

Jobgether

Iowa

Remote

USD 65,000 - 90,000

Full time

6 days ago
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Benefits offered by this job

Remote work
90-day onboarding
Professional development
Collaborative culture
Impactful work
Inclusive workplace

Job summary

Jobgether and its partner are seeking an Underpayment Analyst to remotely analyze hospital claims, identify payment discrepancies, and drive accurate reimbursements across Medicare, Medicaid, and commercial payers. You will liaise with carriers and internal teams, document findings, and contribute to continuous process improvements within a structured 90-business-day training program.

You will operate in a detail-oriented, analytical capacity, using Epic/Cerner/Meditech and Microsoft Office

Qualifications

  • Strong investigative, analytical, and problem-solving skills.
  • Working knowledge of healthcare billing, coding, and reimbursement methodologies.
  • Ability to interpret Medicare, Medicaid, and commercial policies.
  • Familiarity with HIPAA, CMS regulations, and state requirements.
  • Experience with Epic, Cerner or Meditech is desirable.

Responsibilities

  • Analyze hospital claims to identify discrepancies between expected and actual reimbursements.
  • Investigate underpayments and variances by examining coding and billing inconsistencies.
  • Contact insurance carriers to obtain missing information and clarify payment decisions.
  • Prepare documentation to support reimbursement recovery (letters, emails, appeals, reports).
  • Maintain records of investigations, outcomes, and trends for audits and knowledge sharing.
  • Collaborate with internal teams and carriers to resolve complex reimbursement issues.
  • Participate in team discussions to improve workflows and recovery strategies.
  • Uphold HIPAA and applicable healthcare regulations in all activities.
  • Perform additional duties to support revenue integrity operations.

Skills

Investigative skills
Analytical thinking
Problem-solving
Healthcare billing knowledge
Microsoft Excel
Communication skills
Remote work experience

Education

High school diploma or equivalent

Tools

Epic
Cerner
Meditech

Job description

Jobgether and its partner are seeking an Underpayment Analyst to remotely analyze hospital claims, identify payment discrepancies, and drive accurate reimbursements across Medicare, Medicaid, and commercial payers. You will liaise with carriers and internal teams, document findings, and contribute to continuous process improvements within a structured 90-business-day training program.

You will operate in a detail-oriented, analytical capacity, using Epic/Cerner/Meditech and Microsoft Office

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