Underpayment Analyst
A company is looking for an Underpayment Analyst.
Key Responsibilities
Identify discrepancies between expected and actual reimbursement amounts from insurance carriers using internal tools
Investigate discrepancies such as payment variances and coding errors, and communicate with insurance companies to resolve underpayments
Maintain thorough documentation of underpayment issues and actively participate in process improvement discussions
Required Qualifications, Training, and Education
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 familiarity with legal and regulatory frameworks governing healthcare reimbursement
Previous experience working in a remote environment