Underpayment Analyst

Job Summary

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

Key Responsibilities

• Identify discrepancies between expected and actual reimbursement amounts from insurance carriers
• Investigate reasons for discrepancies and contact insurance companies to resolve underpayments
• Maintain thorough documentation and actively participate in team discussions for process improvement

Required Qualifications

• High school diploma or equivalent required
• Knowledge of healthcare billing, coding, and reimbursement methodologies
• Strong analytical abilities to interpret complex guidelines related to claims reimbursement
• Experience with healthcare billing software and databases
• Familiarity with legal and regulatory frameworks governing healthcare reimbursement