HCA Healthcare · 3 hours ago
Senior Underpayment Analyst WFH
United States
Full-time
Remote
Mid, Senior Level
2+ years expHCA Healthcare is a leading healthcare provider dedicated to giving back to the community. They are seeking a Senior Underpayment Analyst to research and resolve high dollar insurance payer underpayments, requiring strong mathematical skills and the ability to articulate and negotiate with payer companies.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Analyzes hospital claims to identify contractual underpayments or billing errors
Resolves underpaid claims from various payer products including HMO, PPO, Medicaid, Medicare and Workers' Compensation
Articulates contract provisions to representatives from healthcare payer companies and government agencies
Contacts payer companies via phone or correspondence and initiates request for payment
Performs appropriate follow-up with Payer and gains commitment for payment
Escalates Payer lack of response and/or lack of payment within Payer organization as appropriate
Identifies and communicates contract interpretation issues and language discrepancies to leadership as appropriate
Identifies Payer company trends and communicates trends to supervisor for further action/escalation
Serves as a subject matter expert in Payer contract dispute resolution process
Qualification
Required
Bachelor's degree in business or related field required. Relevant work experience may substitute degree requirements
Two years of related experience preferred
High mathematical acumen
Ability to access and assimilate data
Articulate a strong case
Confidence and strong persuasion skill set
Results oriented
Ability to grow strategic payer relationships
Understanding of payer system to navigate through claims processing centers
Critical thinking skills
Ability to see trends that require escalation to the Payment Compliance Director
Ability to bundle similar cases not resolved through the standard Payment Compliance process
Ability to escalate to Dispute Resolution Team for legal action
Preferred
Two years of related experience preferred
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
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