Remote Healthcare Underpayment Analyst (Revenue Integrity)

Jobgether; Wilmington (VT); Remoto; USD 65.000 - 90.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote work

90-day onboarding

Professional development

Collaborative culture

Meaningful impact

Inclusive workplace

Descrizione del lavoro

Jobgether, on behalf of a partner company, seeks an Underpayment Analyst based in the United States for a remote role. You will analyze hospital claims, identify underpayments, and collaborate with insurance carriers to recover appropriate reimbursements while ensuring compliance with HIPAA and payer guidelines.

You'll work with a healthcare revenue integrity team, undergo a comprehensive 90-business-day training program, and contribute to continuous improvement by documenting findings and

Competenze

• High school diploma or equivalent.
• Strong investigative, analytical, and problem-solving skills.
• Working knowledge of healthcare billing, medical coding, and reimbursement methodologies.
• Ability to interpret and apply Medicare, Medicaid, and commercial insurance policies.
• Familiarity with HIPAA, CMS regulations, and state requirements.
• Experience with EHR systems like Epic, Cerner, or Meditech is desirable.
• Proficiency with Microsoft Excel, Word, and Outlook.

Mansioni

• Analyze hospital claims to identify discrepancies between expected and actual reimbursements.
• Investigate underpayments and variances by examining coding and billing issues.
• Contact insurance carriers to obtain missing information and clarify decisions.
• Prepare and submit documentation to support reimbursement recovery.
• Maintain records of investigations, outcomes, and trends for audit readiness.
• Interpret payer guidelines to support accurate claim assessments.
• Collaborate with internal teams and stakeholders to resolve issues.
• Participate in meetings to improve workflows and recovery strategies.
• Uphold HIPAA and regulatory standards in all activities.

Conoscenze

Analytical

Investigative

Attention to detail

Communication

Remote work experience

Home office setup

Formazione

High school diploma

Strumenti

Epic

Cerner

Meditech

Excel

Descrizione del lavoro

Jobgether, on behalf of a partner company, seeks an Underpayment Analyst based in the United States for a remote role. You will analyze hospital claims, identify underpayments, and collaborate with insurance carriers to recover appropriate reimbursements while ensuring compliance with HIPAA and payer guidelines.

You'll work with a healthcare revenue integrity team, undergo a comprehensive 90-business-day training program, and contribute to continuous improvement by documenting findings and