Variance Underpayment Analyst

Job Summary

As a full-time Variance Underpayment Analyst working remotely, the successful candidate will examine hospital claims to ensure accurate reimbursement, investigate discrepancies, and collaborate with stakeholders to optimize reimbursement processes while adhering to regulatory guidelines.

Key responsibilities

• Utilize technology and best practices to identify discrepancies between expected and actual reimbursement amounts from insurance carriers
• Investigate reasons for discrepancies, including payment variances and coding errors, and contact insurance companies to resolve underpayments
• Maintain thorough documentation of underpayment issues and participate in discussions to improve reimbursement processes

Required qualifications

• High school diploma or equivalent required
• Knowledge of healthcare billing, coding, and reimbursement methodologies
• Strong analytical abilities to understand complex guidelines affecting claims reimbursement
• Experience with healthcare billing software and databases such as EPIC, Cerner, or Meditech
• Familiarity with legal and regulatory frameworks governing healthcare reimbursement, including HIPAA and CMS regulations