Remote Underpayment Analyst: Revenue Integrity

Jobgether

Athens (GA)

Remote

USD 70,000 - 90,000

Full time

6 days ago
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Benefits offered by this job

Remote work
90-day onboarding training
Professional development
Collaborative environment
Meaningful impact
Inclusive workplace

Job summary

Jobgether in the United States is listing an Underpayment Analyst for a remote, healthcare revenue integrity role. You will analyze hospital claims, identify underpayments, and coordinate with insurers to recover entitled revenue.

A comprehensive 90-business-day training program supports success in this detail-oriented, analytical position. The role emphasizes adherence to HIPAA and CMS regulations, collaboration with stakeholders, and ongoing process improvement to strengthen financial accuracy

Qualifications

  • High school diploma or equivalent is required.
  • Strong investigative, analytical, and problem-solving skills.
  • Working knowledge of healthcare billing and reimbursement methodologies.
  • Ability to interpret Medicare, Medicaid, and commercial policies.
  • Familiarity with HIPAA and CMS regulations.
  • Experience with healthcare billing systems (Epic/Cerner/Meditech) desirable.
  • Proficient in Microsoft Office (Excel, Word, Outlook).
  • Remote work experience preferred.
  • Willingness to work in a remote role from the United States.

Responsibilities

  • Analyze hospital claims to identify discrepancies between expected and actual reimbursements.
  • Investigate underpayments and variances by examining coding errors and payer policy applications.
  • 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 audits.
  • Apply payer guidelines to support accurate claim assessments.
  • Collaborate with internal teams and external stakeholders to resolve issues.
  • Participate in team meetings to improve workflows and recovery strategies.

Skills

Investigative skills
Analytical skills
Problem solving
Attention to detail
Verbal communication
Written communication
Remote work experience
Microsoft Office proficiency

Education

High school diploma

Tools

Epic
Cerner
Meditech

Job description

Jobgether in the United States is listing an Underpayment Analyst for a remote, healthcare revenue integrity role. You will analyze hospital claims, identify underpayments, and coordinate with insurers to recover entitled revenue.

A comprehensive 90-business-day training program supports success in this detail-oriented, analytical position. The role emphasizes adherence to HIPAA and CMS regulations, collaboration with stakeholders, and ongoing process improvement to strengthen financial accuracy

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