Underpayment Analyst

Job Summary

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

Key Responsibilities

• Identify discrepancies in reimbursement amounts from insurance carriers using internal tools
• Investigate payment variances and contact insurance companies to resolve underpayments
• Maintain documentation of underpayment issues and participate in process improvement discussions

Required Qualifications and Education

• High school diploma or equivalent required
• Knowledge of healthcare billing, coding, and reimbursement methodologies
• Strong analytical abilities to interpret complex guidelines affecting claims reimbursement
• Experience with healthcare billing software and databases
• Previous experience working in a remote environment