Underpayment Analyst (Healthcare)

TL;DR

Underpayment Analyst (Healthcare): Facilitating payment review and recovery efforts for denied and underpaid healthcare claims with an accent on contract analysis and payer communication. Focus on resolving complex receivables, ensuring accurate reimbursement, and maintaining high standards of data privacy.

Location: Must be based in the United States

Company

hirify.global provides specialty revenue cycle management solutions for healthcare organizations, leveraging intelligent automation to improve financial sustainability.

What you will do

• Review, evaluate, and appeal denied or underpaid claims using proprietary software.
• Analyze hospital contracts to identify and collect outstanding cash payments.
• Research and acquire medical records to support complex underpayment appeals.
• Conduct thorough telephone follow-ups with payers to facilitate claim resolution.
• Ensure accurate reimbursement by verifying payer documentation against provider contracts.
• Maintain strict privacy and security standards when handling patient health information.

Requirements

• Must be based in the United States
• High School Diploma or GED required; Associates or Bachelor’s Degree preferred.
• 5+ years of experience in healthcare billing or collections.
• 1+ years of client-facing or customer service experience.
• Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
• Strong proficiency in MS Office (Word, Excel, Outlook).
• Solid understanding of the revenue cycle, hospital reimbursement, and managed care contracts.

Nice to have

• Familiarity with HMO, PPO, IPA, and capitation terms.
• Experience with UB04 and HCFA 1500 billing forms.

Culture & Benefits

• Commitment to professional growth and employee development.
• Family-oriented and flexible work environment.
• Focus on work-life balance and cooperative team culture.
• Recognized as a top workplace and fast-growing private company.