Remote Underpayment Analyst - Healthcare Revenue Recovery

Jobgether

Georgia

Remote

USD 65,000 - 90,000

Full time

6 days ago
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Benefits offered by this job

Remote work
Onboarding program
Professional development
Collaborative team
Impactful work
Inclusive culture

Job summary

Jobgether, acting on behalf of a partner, seeks an Underpayment Analyst based in the United States for a remote role. You will analyze hospital claims, identify underpayments, and support revenue integrity for healthcare clients.

You'll work with payers and internal teams, document findings, and participate in a 90-business-day training program to accelerate success. Strong analytical skills and knowledge of HIPAA, CMS, and payer policies are valued.

Qualifications

  • Understand healthcare billing, coding, and reimbursement methodologies.
  • Familiar with Medicare, Medicaid, and commercial payer policies.
  • Experience with Epic, Cerner, or Meditech is desirable.
  • Excellent attention to detail and strong problem-solving skills.

Responsibilities

  • Analyze hospital claims using established procedures and tools to identify discrepancies in reimbursements.
  • Investigate underpayments and variances by examining coding and billing discrepancies.
  • Contact insurance carriers to obtain missing information and clarify payment decisions.
  • Prepare and submit documentation to support recovery efforts.
  • Maintain records of investigations, outcomes, and trends for audit readiness.
  • Apply payer guidelines (Medicare, Medicaid, commercial) to claim assessments.

Skills

Analytical skills
Problem solving
Attention to detail
Written and verbal communication
Remote work experience

Education

High school diploma or equivalent

Tools

Epic EHR
Cerner
Meditech
Excel
Outlook
Word

Job description

Jobgether, acting on behalf of a partner, seeks an Underpayment Analyst based in the United States for a remote role. You will analyze hospital claims, identify underpayments, and support revenue integrity for healthcare clients.

You'll work with payers and internal teams, document findings, and participate in a 90-business-day training program to accelerate success. Strong analytical skills and knowledge of HIPAA, CMS, and payer policies are valued.

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