Remote Underpayment Analyst, Healthcare Revenue Integrity

Jobgether

North Carolina

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
Meaningful impact
Inclusive workplace

Job summary

Jobgether is seeking an Underpayment Analyst to join a healthcare revenue integrity team in a remote capacity. You will analyze hospital claims, identify underpayments, and work with insurers to recover reimbursement, supported by a structured 90-business-day training program.

The role emphasizes attention to detail, rigorous documentation, and collaboration with internal stakeholders to improve accuracy and efficiency across reimbursement workflows.

Qualifications

  • 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 Medicare, Medicaid, and commercial policies.
  • Familiarity with HIPAA and CMS regulations.
  • Experience with healthcare billing systems is desirable.
  • Proficiency with MS Office (Excel, Word, Outlook).
  • Excellent written and verbal communication.
  • Prior remote work experience preferred.

Responsibilities

  • 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 resolve cases.
  • Prepare documentation to support reimbursement recovery (letters, emails, reports).
  • Maintain records of investigations, trends, and outcomes for audit readiness.
  • Apply Medicare/Medicaid/commercial guidelines to claim assessments.
  • Collaborate with internal teams and carriers to resolve issues.
  • Support process improvements and share insights with colleagues.

Skills

Investigative skills
Analytical skills
Problem-solving
Remote work experience
Attention to detail
Communication skills
MS Office

Education

High school diploma

Tools

Epic
Cerner
Meditech

Job description

Jobgether is seeking an Underpayment Analyst to join a healthcare revenue integrity team in a remote capacity. You will analyze hospital claims, identify underpayments, and work with insurers to recover reimbursement, supported by a structured 90-business-day training program.

The role emphasizes attention to detail, rigorous documentation, and collaboration with internal stakeholders to improve accuracy and efficiency across reimbursement workflows.

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