Revenue Recovery Analyst – Hospital Underpayments

Hudson Regional Hospital; Clifton (NJ); On-site; USD 39,000 - 45,000; Full time

Job summary

Hudson Regional Hospital in Clifton, NJ is seeking an Underpayment Analyst to review hospital claims data, identify underpayments, and pursue resolutions with third-party payors. The role involves analyzing contracts, ensuring accurate payment estimates, and communicating with payers to recover revenue.

Ideal candidates will have a background in managed care reimbursement, strong data analysis, and effective communication with internal teams and external payers.

Qualifications

• Experience with denials and underpayments in pursuing resolutions with third-party payers.
• Ability to identify trends, patterns, and discrepancies in data.
• Strong communication and organizational skills.

Responsibilities

• Review hospital-managed care contracts to determine expected reimbursements and identify potential underpayments.
• Assist with software accuracy in estimating payment amounts; provide feedback for updates.
• Use contract management software to identify discrepancies and billing errors.
• Communicate with third-party payers to resolve claims and recover revenue.
• Coordinate with HIM, Registration, IT and clinical departments to gather information for appeals.

Skills

Data analysis

Communication

Organizational skills

Education

High school diploma or GED

Bachelor's degree in finance/economics/business

Tools

Excel

Claims management software

Job description

Hudson Regional Hospital in Clifton, NJ is seeking an Underpayment Analyst to review hospital claims data, identify underpayments, and pursue resolutions with third-party payors. The role involves analyzing contracts, ensuring accurate payment estimates, and communicating with payers to recover revenue.

Ideal candidates will have a background in managed care reimbursement, strong data analysis, and effective communication with internal teams and external payers.