Underpayment Analyst

Job Summary

Working remotely in a full-time capacity, the Underpayment Analyst will manage the appeal process for denied and underpaid accounts, facilitating payment recovery efforts while ensuring confidentiality and compliance with healthcare regulations.

Key Responsibilities

• Review, evaluate, and appeal outstanding claims using proprietary software and tools
• Determine correct reimbursement by analyzing payment documentation and hospital contracts
• Conduct follow-up with payers to ensure timely resolution of claims and enhance customer satisfaction

Required Qualifications

• High School Diploma or GED required; Associate's or Bachelor's Degree preferred
• 5+ years of experience in healthcare billing or collections
• 1+ years of client-facing or customer service experience
• Intermediate understanding of insurance claims processing and medical coding
• Strong computer proficiency, including MS Office applications