Underpayment Analyst (Fully Remote)

Partner Company; United States; Remote; USD 65,000 - 85,000; Full time

Job summary

Partner Company in the United States is seeking an Underpayment Analyst to join a healthcare revenue integrity team. You will focus on analyzing hospital claims and identifying reimbursement discrepancies, with a strong emphasis on accuracy and compliance.

This remote role offers a comprehensive 90-business-day onboarding, instructor-led training, and ongoing professional development in healthcare reimbursement and revenue integrity.

Qualifications

• Experience analyzing hospital claims for reimbursement discrepancies.
• Familiarity with coding, billing, and payer policies.
• Strong collaboration skills with carriers and internal teams.

Responsibilities

• Analyze hospital claims using technology-enabled worklists to identify reimbursement discrepancies.
• Investigate underpayments by examining coding errors, billing discrepancies, and payer policy applications.
• Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve recovery outcomes.

Skills

Analyze hospital claims

Investigate underpayments

Collaborate with payers

Job description

• Underpayment Analyst position on a healthcare revenue integrity team.
• Focus on analyzing hospital claims and investigating payment discrepancies.
• Remote role based in the United States with a comprehensive 90-business-day training program.

Key Responsibilities:

• Analyze hospital claims using technology-enabled worklists to identify reimbursement discrepancies.
• Investigate underpayments by examining coding errors, billing discrepancies, and payer policy applications.
• Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve recovery outcomes.

What We Offer:

• Full-time remote work for eligible candidates in approved U.S. states.
• Comprehensive 90-business-day onboarding with instructor-led sessions and hands-on learning.
• Opportunities for professional development in healthcare reimbursement and revenue integrity.

Partner Company

This partner company specializes in healthcare revenue integrity, helping hospitals recover appropriate reimbursement for services. The team fosters a collaborative, inclusive culture focused on continuous improvement and professional development.