Remote Underpayment Analyst in the Dallas Area

Job ID: Available for Members

Location: Texas

Compensation: Salary

Posted: Thursday, November 30, 2017

Job Category: Financial, Healthcare, Insurance

Telecommute Level: 100% Telecommute

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Job Summary

A business solutions company has an open position for a Remote Underpayment Analyst in the Dallas Area.

Individual must be able to fulfill the following responsibilities:

  • Research and resolve underpayments from insurance companies
  • Assess Managed Care contracts for appropriate reimbursement to validate the payment received
  • Contact payers and pursue collection of underpayments, and perform appropriate follow-up with payer for payment

Qualifications for this position include:

  • Must be able to read, review, and analyze reimbursement contracts from managed care insurance companies
  • Knowledge and understanding of 837/UB04 claims and 835/EOB/RA
  • Understanding of HMOs, PPOs, and other Managed Care plans
  • Proficiency in Microsoft Office applications and others as required
  • Able to perform basic mathematical calculations, balance figures and reconcile figures
  • High school diploma or GED required
  • At least one year of related experience required