Underpayment Analyst

Revecore

Underpayment Analyst helping Revecore recover hospital revenue through claims and reimbursement analysis. Investigating payer discrepancies, resolving underpayments, and improving revenue integrity processes remotely across approved U.S.

Posted 8/10/2026full-timeRemote • Alabama, Connecticut, Florida, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Minnesota, Mississippi, Missouri, Montana, New Hampshire, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia, Wisconsin • 🇺🇸 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 and payer policies. Effective in communication and collaboration with stakeholders to optimize reimbursement processes while maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Healthcare Billing KnowledgeCoding and Reimbursement MethodologiesAnalytical AbilitiesEffective Communication SkillsExperience with EPIC, Cerner, and Meditech

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingCodingReimbursement MethodologiesAnalytical SkillsProblem-Solving SkillsDetail-Oriented DocumentationInterpreting Payer PoliciesTechnical ProficiencyModerate Computer ProficiencyRemote Work Experience

Soft Skills

Effective CommunicationCollaborationInvestigative Skills

Tools & Technologies

EPICCernerMeditechMS ExcelMS WordMS Outlook

Industry Keywords

HIPAACMS RegulationsHealthcare ReimbursementAudit ComplianceInsurance Payer Policies

About the role

Key responsibilities & impact

Examine hospital claims to verify proper reimbursement
Identify discrepancies between expected and actual reimbursement amounts 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, 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 healthcare reimbursement regulations and organizational policies
Collaborate with stakeholders to optimize reimbursement processes
Perform other duties as assigned

Requirements

What you’ll need

High school diploma or equivalent required
Investigative and problem-solving skills
Knowledge of healthcare billing, coding, and reimbursement methodologies
Strong analytical abilities for interpreting complex reimbursement guidelines
Ability to interpret Medicare, Medicaid, and Commercial insurance payer policies
Detail-oriented approach to applying guidelines and documenting findings for audit and compliance
Effective communication skills for collaborating 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 using multiple computer screens and software applications simultaneously
Previous experience working in a remote environment
Quiet, distraction-free home workspace
Secure home internet connection with download speeds above 20 Mbps and upload speeds above 10 Mbps
Workspace must accommodate workstation equipment and related materials
Must reside in the United States in an approved state listed in the posting
Employment eligibility in the United States
Successful employment-history verification and background check

Benefits

Comp & perks

Comprehensive health coverage
401(k) match
Paid training
Generous PTO
Paid holidays
90 business days of comprehensive training beginning on the first day
Learning and development opportunities
Internal opportunities for career growth