Underpayment Appeals Analyst – Healthcare Billing

300 Sharp HealthCare; United States; On-site; USD 36,000 - 51,000; Full time

Job summary

Sharp HealthCare in San Diego, CA is seeking a billing analyst to appeal underpayments and manage payer contract issues. The role requires strong analytical skills, Excel proficiency, and experience with denials across multiple specialties.

You will file appeals, analyze EOBs, and help improve revenue recovery by identifying root causes and communicating findings to management. Flexible start times and shift options reflect our commitment to efficient operations.

Qualifications

• H.S. Diploma or Equivalent; 5 years billing experience and 4 years accounts management in a multi-specialty medical group.
• Must have strong analytical and mathematical skills; detail oriented.
• MS Excel proficiency and familiarity with billing procedures.
• Experience resolving underpayments/denials and payer contract issues.

Responsibilities

• File appeals and PDRs on non-clinical underpaid/denied claims.
• Explain new legislation affecting underpayments/denials.
• Identify underpayment trends and opportunities for revenue.
• Produce ad hoc reports to reconcile inventory and revenue.
• Maintain timely, accurate communication with supervisor and management.

Skills

Strong analytical skills

Mathematical skills

Detail oriented

Communication

Team player

Education

HS Diploma or Equivalent

Bachelor's Degree in finance, business administration or economics

Tools

MS Excel

Billing software

Contract Underpayment tool

Job description

Sharp HealthCare in San Diego, CA is seeking a billing analyst to appeal underpayments and manage payer contract issues. The role requires strong analytical skills, Excel proficiency, and experience with denials across multiple specialties.

You will file appeals, analyze EOBs, and help improve revenue recovery by identifying root causes and communicating findings to management. Flexible start times and shift options reflect our commitment to efficient operations.