Remote Underpayment Analyst - Revenue Integrity

Jobgether; Indiana; À distance; USD 60 000 - 85 000; Plein temps

Avantages offerts par ce poste

Remote work

90-day onboarding

Professional development

Collaborative environment

Meaningful impact

Inclusive workplace

Résumé du poste

Jobgether is seeking an Underpayment Analyst for a fully remote role based in the United States. You will analyze hospital claims, identify underpayments, and work with insurance carriers to recover appropriate reimbursements.

A comprehensive 90-business-day training program supports your success, with ongoing opportunities to improve workflows and revenue integrity. You will document findings, apply payer policies (Medicare/Medicaid/commercial), and collaborate with internal stakeholders while

Qualifications

• Strong investigative, analytical, and problem-solving skills.
• 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 EHR systems like Epic, Cerner, or Meditech is desirable.
• Proficiency with Microsoft Office (Excel, Word, Outlook).
• Excellent attention to detail and organization.

Responsabilités

• Analyze hospital claims to identify discrepancies in reimbursements.
• Investigate underpayments and variances due to coding or billing errors.
• Communicate with insurance carriers to obtain information and clarify decisions.
• Prepare documentation to support recovery and posting.
• Maintain records of investigations and outcomes for audits.
• Interpret payer guidelines to support accurate claim assessment.
• Collaborate with teams to resolve complex issues and improve workflows.
• Participate in meetings to improve processes and recovery strategies.
• Uphold HIPAA and regulatory standards during analysis.
• Perform additional duties to support revenue integrity.

Connaissances

Investigative skills

Analytical skills

Problem-solving

Attention to detail

Written & verbal communication

Excel

Remote work

Formation

High school diploma or equivalent

Outils

Epic

Cerner

Meditech

MS Office

Description du poste

Jobgether is seeking an Underpayment Analyst for a fully remote role based in the United States. You will analyze hospital claims, identify underpayments, and work with insurance carriers to recover appropriate reimbursements.

A comprehensive 90-business-day training program supports your success, with ongoing opportunities to improve workflows and revenue integrity. You will document findings, apply payer policies (Medicare/Medicaid/commercial), and collaborate with internal stakeholders while