Underpayment Recovery Specialist

Job Summary

A company is looking for an Underpayment Recovery Specialist to investigate and pursue reimbursement discrepancies.

Key Responsibilities

• Investigate, validate, and pursue reimbursement discrepancies to ensure accurate payments
• Prepare and submit appeals or disputes related to identified underpayments
• Collaborate with internal teams to support recovery efforts and improve payer performance

Required Qualifications

• 2 years of experience in healthcare revenue cycle, focusing on claims follow-up, denials, or reimbursement analysis
• Ability to investigate claim issues and determine root causes
• Experience with payer guidelines, contracts, or reimbursement methodologies
• High School Diploma or equivalent required; Associate's degree preferred