Underpayment Analyst

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Connecticut, +26 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Revecore

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Revecore is a healthcare revenue recovery company that combines proprietary AI, claims intelligence, workflow automation, and clinical, legal, and reimbursement expertise to identify and recover missed revenue for hospitals and health systems. Their ReClaim™ platform and network intelligence use machine-learning models and payor rule engines trained on hundreds of millions of claims to automate decisioning, prioritize recoveries, manage complex claims (VA, auto accidents, workers' compensation, Medicaid), denials management, underpayment recovery, and accounts receivable acceleration. Revecore operates HIPAA-compliant, SOC 2-certified infrastructure and serves over 1,300 hospitals, emphasizing outcomes like increased reimbursement, faster reimbursement, and high denial overturn rates.

📋 Description

• Examine hospital claims to verify proper reimbursement • Identify discrepancies between expected and actual reimbursement amounts from insurance carriers using company best practices, technology-enabled worklists, and internal tools • Investigate payment variances, coding errors, billing discrepancies, and incorrect payer-policy application • Contact insurance companies to obtain missing information, explain and resolve underpayments, and arrange payment or adjustment processing on behalf of clients • Prepare and submit letters, emails, faxes, online inquiries, appeals, adjustments, reports, and payment postings • Maintain documentation of underpayment root causes, trends, outcomes, and lessons learned • Participate in discussions, meetings, and brainstorming sessions to improve processes • Uphold ethical standards and comply with relevant regulations and organizational guidelines • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent required • Investigative and problem-solving skills to identify underpayments and discrepancies • Knowledge of healthcare billing, coding, and reimbursement methodologies • Strong analytical abilities to interpret complex guidelines and their implications for claims reimbursement • Ability to navigate and interpret Medicare, Medicaid, and Commercial insurance payer policies • Detail-oriented approach for accurate guideline application and documentation for audit and compliance • Effective communication skills for collaboration with internal teams, payers, and external stakeholders • Experience with healthcare billing software and databases, including EPIC, Cerner, and Meditech • Familiarity with HIPAA, CMS regulations, and state-specific healthcare reimbursement requirements • Moderate computer proficiency with MS Excel, Word, and Outlook • Technical proficiency working across multiple computer screens and software applications simultaneously • Previous experience working in a remote environment • Quiet, distraction-free home work environment • Secure home internet with download speeds above 20 Mbps and upload speeds above 10 Mbps • Workspace accommodating workstation equipment and related materials • Must reside in the United States within one of the listed states • Employment eligibility in the United States • Successful background check

🏖️ Benefits

• Comprehensive training beginning on the first day and lasting 90 business days • Remote work arrangement • Work-from-home setup • Secure home internet connection and home workspace requirements • Equal employment opportunity workplace