Revenue Integrity Analyst: Underpayments

Revecore; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Revecore is seeking an Underpayment Analyst to join our Revenue Integrity team in a remote capacity in the United States. You will review hospital claims to verify proper reimbursement and collaborate with stakeholders to resolve discrepancies and optimize processes.

A comprehensive 90-day training program supports onboarding and success. The role emphasizes analytical skills, attention to detail, and regulatory compliance as you work with payer guidelines from Medicare, Medicaid, and commercial

Qualifications

• High school diploma or equivalent required.
• Experience in healthcare billing and reimbursement preferred.
• Ability to interpret payer policies and regulatory guidelines to ensure compliant reimbursements.

Responsibilities

• Identify discrepancies between expected vs. actual reimbursements using internal tools.
• Investigate underpayments due to payment variances, coding, or billing errors.
• Contact insurance carriers to obtain missing information and arrange for adjustments.
• Prepare correspondence and post payments; maintain thorough documentation.
• Document root causes, trends, and lessons learned for process improvement.
• Participate in team discussions to improve reimbursement processes.
• Uphold HIPAA, CMS, and state regulations in all activities.

Skills

Investigative skills

Problem solving

Healthcare billing

Payer policies

Analytical thinking

Attention to detail

Communication

Teamwork

Education

High school diploma or equivalent

Tools

EPIC

Cerner

Meditech

Excel

Word

Outlook

Job description

Revecore is seeking an Underpayment Analyst to join our Revenue Integrity team in a remote capacity in the United States. You will review hospital claims to verify proper reimbursement and collaborate with stakeholders to resolve discrepancies and optimize processes.

A comprehensive 90-day training program supports onboarding and success. The role emphasizes analytical skills, attention to detail, and regulatory compliance as you work with payer guidelines from Medicare, Medicaid, and commercial