Underpayment Analyst

To support hospitals in receiving accurate compensation, the full-time Underpayment Analyst will examine claims for reimbursement discrepancies, collaborate with stakeholders to resolve issues, and optimize reimbursement processes while working remotely. Key responsibilities Utilize technology and best practices to identify discrepancies between expected and actual reimbursement amounts from insurance carriers Investigate discrepancies, including payment variances and coding errors, and communicate with insurance companies to resolve underpayments Maintain thorough documentation of underpayment issues and actively 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