Remote Underpayment Analyst, Healthcare Revenue Recovery

Jobgether; East Windsor Hill (CT); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Remote work

90-day onboarding training

Professional development

Job summary

Jobgether is partnering with a healthcare provider to hire an Underpayment Analyst for a fully remote position based in the United States. You will analyze hospital claims, identify underpayments, and coordinate with insurers to recover owed revenue.

The role emphasizes strong analytical and investigative skills, familiarity with payer policies, and documentation to support audits. A 90-business-day training program supports onboarding and success.

Qualifications

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

Responsibilities

• Analyze hospital claims using established procedures to identify discrepancies between expected and actual reimbursements.
• Investigate underpayments and payment variances by examining coding errors and billing discrepancies.
• Contact insurance carriers to obtain missing information and clarify payment decisions.
• Prepare documentation to support reimbursement recovery, including letters, emails, and reports.
• Maintain records of investigations, outcomes, and trends to support audits and knowledge sharing.
• Interpret payer guidelines to support accurate claim assessments and recovery actions.
• Collaborate with internal teams and insurers to resolve complex issues and improve outcomes.
• Participate in meetings to improve workflows and recovery strategies.
• Uphold confidentiality and healthcare regulations in all activities.
• Perform additional duties to support revenue integrity operations.

Skills

Analytical thinking

Investigative skills

Problem solving

Healthcare billing knowledge

Communication

Education

High school diploma or equivalent

Tools

Epic

Cerner

Meditech

Job description

Jobgether is partnering with a healthcare provider to hire an Underpayment Analyst for a fully remote position based in the United States. You will analyze hospital claims, identify underpayments, and coordinate with insurers to recover owed revenue.

The role emphasizes strong analytical and investigative skills, familiarity with payer policies, and documentation to support audits. A 90-business-day training program supports onboarding and success.