The Underpayment Analyst reviews patient accounts and insurance claims to identify missing or underpaid amounts. Assists with identifying and recovering payments that were made incorrectly or incompletely to ensure the healthcare facility receives the correct revenue for services provided. Being an Underpayment Analyst may require an associate degree. Works closely with billing and insurance teams to request corrections and follow up on outstanding payments. In addition, Underpayment Analyst typically reports to a supervisor. Being an Underpayment Analyst works under moderate supervision. Gain ...ing or has attained full proficiency in a specific area of discipline. Working as an Underpayment Analyst typically requires 1-3 years of related experience.More Show Less
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Position Summary. . . . Reviews hospital claims data to identify underpayments and pursue resolutions with third party payors. . Job Duties. . Review hospital-managed care contracts: To determine expected reimbursements and identify potential underpayments. Familiarize yourself with the rates. . Assist with ensuring software is accurately estimating the expected payment amounts. Provide feedback to the Contract Management software team any update...
