Underpayment Recovery Auditor I

Savista; United States; On-site; USD 44,000 - 50,000; Full time

Job summary

Savista, a leader in healthcare revenue cycle services, seeks an Underpayment Auditor I to review payment data and contract terms, identify underpayments, and help recover revenue for clients. You will analyze patterns, verify policies, and collaborate with the Compliance Program to ensure HIPAA and related laws are observed.

Ideal candidates have 1–2 years in managed care reimbursement, strong analytical skills, and proficiency with MS Office.

Qualifications

• High school diploma or GED is required.
• 1-2 years of experience with managed care reimbursement and contracts.
• Familiar with ICD-9 and ICD-10, CPT Coding, revenue codes, UB and 1500 billing formats.
• Self-motivated and independent with strong analytical skills.
• Excellent oral and written communication skills.

Responsibilities

• Review historical payment information using high-volume reports to assess reimbursement accuracy.
• Evaluate hospital contracts to ensure proper application of rates, provisions and terms.
• Identify underpayment trends by comparing contracts to actual payments via contract management tools.
• Apply analytical methods to remove inaccuracies and reduce false positives.
• Investigate third-party payor policies and contracts for accuracy of variances per guidelines.
• Collaborate with Contract Specialist team to refine models when discrepancies are found.
• Verify patient benefits and eligibility to screen out denials and demographic issues.
• Report underpayments and trends to management and audit teams for pursuit and collection.

Skills

Strong analytical acumen

Excellent oral and written коммуника

Self-motivated and independent

Strong leadership skills

Proficiency with MS Office

ICD-9/ICD-10, CPT Coding, UB and 1500

Education

High school diploma or GED

1-2 years of experience with managed care reimbursement and contracts

Tools

MS Office

Job description

Savista, a leader in healthcare revenue cycle services, seeks an Underpayment Auditor I to review payment data and contract terms, identify underpayments, and help recover revenue for clients. You will analyze patterns, verify policies, and collaborate with the Compliance Program to ensure HIPAA and related laws are observed.

Ideal candidates have 1–2 years in managed care reimbursement, strong analytical skills, and proficiency with MS Office.