Underpayment Analyst

Revecore

. Examine hospital claims to verify proper reimbursement .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing, coding, and reimbursement methodologies, with strong analytical abilities to interpret complex guidelines. Proficient in navigating Medicare, Medicaid, and Commercial insurance payer policies while maintaining compliance with HIPAA and CMS regulations.

Highest-signal resume keywords

Healthcare Billing KnowledgeAnalytical AbilitiesProblem-Solving SkillsExperience with EPIC, Cerner, and MeditechEffective Communication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Healthcare BillingCodingReimbursement MethodologiesAnalytical SkillsProblem-SolvingDocumentationAudit ComplianceTechnical ProficiencyDetail-Oriented ApproachInvestigative Skills

Soft Skills

Effective CommunicationCollaborationAttention to Detail

Tools & Technologies

EPICCernerMeditechMS ExcelMS WordMS Outlook

Industry Keywords

HIPAACMS RegulationsInsurance Payer PoliciesHealthcare ReimbursementRemote Work Experience

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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