Revecore · 19 hours ago
Underpayment Analyst
United States
Full-time
Remote
New Grad, Entry LevelRevecore is a leader in specialized claims management for healthcare providers, dedicated to enhancing patient care through effective revenue recovery. The Underpayment Analyst will ensure hospitals receive accurate compensation by examining claims, resolving discrepancies, and optimizing reimbursement processes while adhering to regulatory guidelines.
AnalyticsManagement ConsultingMedical
Responsibilities
Utilize company best practices along with technology enabled worklist and other internal tools to identify discrepancies between expected reimbursement and actual reimbursement amounts from insurance carriers
Investigate reasons for discrepancies, such as payment variances, coding errors, billing discrepancies, or incorrect application of payer policies
Contact insurance companies to obtain missing information, explain and resolve underpayments and arrange for payment or adjustment processing on behalf of client
Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports and payment posting
Maintain thorough documentation, including root cause of underpayment issues, trends, outcomes, and lessons learned to support ongoing improvement efforts and knowledge sharing within the organization
Actively participate in discussions, meetings, and brainstorming sessions where team members contribute insights and suggestions for improving processes
Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities
Qualification
Required
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Technical proficiency to work on multiple computer screens and software applications simultaneously
Ability to maintain strong performance in a fast-paced environment with productivity metrics
Strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies
Working knowledge of healthcare billing, coding, and reimbursement methodologies
Ability to navigate and interpret various payer policies, including Medicare, Medicaid, and Commercial insurance guidelines
Experience with healthcare billing software and databases (EPIC, Cerner, Meditech)
Familiarity with legal and regulatory frameworks governing healthcare reimbursement, such as HIPAA, CMS regulations, and state-specific requirements
Must reside in the United States within one of the specified states
Benefits
Paid training
Incentive plans
Medical, dental, vision, and life insurance benefits
Excellent work/life balance
401(k) contributions
Career growth opportunities
12 paid holidays
Generous paid time off
Company
Revecore
Revecore provides revenue optimization and root-cause analysis.
Founded in 1996
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-04-06Acquired
Leadership Team
Chad Powers
Chief Legal Officer
Michael Ford
Chief Revenue Officer
Recent News
2023-12-26
2022-08-03
2022-04-08
Company data provided by crunchbase