Underpayment Analyst

Job Summary

A company is looking for an Underpayment Analyst to ensure hospitals receive accurate compensation for their services.

Key Responsibilities

• Examine hospital claims to identify discrepancies between expected and actual reimbursement amounts
• Investigate reasons for payment variances and contact insurance companies to resolve underpayments
• Maintain thorough documentation and actively participate in team discussions for process improvement

Required Qualifications

• Experience in getting hospital claims paid by commercial and government payors
• Working knowledge of Microsoft Office and healthcare billing software
• Familiarity with healthcare billing, coding, and reimbursement methodologies
• Ability to navigate and interpret various payer policies, including Medicare and Medicaid
• Understanding of legal and regulatory frameworks governing healthcare reimbursement