Underpayment Analyst

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Oct 02, 2024
This job expires in: 19 days

Job Summary

A company is looking for an Underpayment Analyst to ensure accurate compensation for hospital services.

Key Responsibilities
  • Examine hospital claims to verify proper reimbursement and resolve discrepancies
  • Contact insurance companies to obtain missing information and arrange for payment processing
  • Maintain thorough documentation of underpayment issues and participate in process improvement discussions

Required Qualifications, Training, and Education
  • Working knowledge of Microsoft Office (Word, Excel, Outlook)
  • Experience with healthcare billing, coding, and reimbursement methodologies
  • Familiarity with payer policies, including Medicare, Medicaid, and Commercial insurance guidelines
  • Experience with healthcare billing software and databases (e.g., EPIC, Cerner, Meditech)
  • Understanding of legal and regulatory frameworks governing healthcare reimbursement, such as HIPAA and CMS regulations

COMPLETE JOB DESCRIPTION

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