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Flexible Underpayments Analyst Jobs (NOW HIRING)

... underpayments, and follows accounts through final resolution. The specialist works closely with ... Analyze payer responses, remittance advice, and denial codes to determine the appropriate ...

... underpayments, fraud, waste, and abuse (FWA). Ensure compliance with CMS regulations, state and ... Flexible Spending Account Health & Wellness Program Health Savings Account Life & AD&D Insurance ...

$128K/yr

Creation of policies to improve contract performance by analyzing denials, underpayments ... Work closely with IT/Data infrastructure leads to implement tools to develop a flexible analytics ...

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As of Aug 19, 2026, the average yearly pay for flexible underpayments analyst in the United States is $97,659.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $111,000.00 per year, depending on experience, location, and employer.

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Infographic showing various Flexible Underpayments Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 29% Part Time, and 3% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution, with an average salary of $97,659 per year, or $47 per hour.

Appeals Analyst - PFS CCD Revenue Integrity - Sharp Corporate - Day Shift - Full Time

Sharp Healthcare

San Diego, CA • On-site

$25.55 - $31.86/hr

Full-time

Posted 13 days ago


Sharp HealthCare rating

8.6

Company rating: 8.6 out of 10

Based on 102 frontline employees who took The Breakroom Quiz

8th of 888 rated healthcare providers


Job description

Hours:

Shift Start Time:

Not Specified

Shift End Time:

Not Specified

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Flexible start time between 5 - 7 AM

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$25.550 - $31.860 - $35.680


The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.



What You Will Do
To appeal for underpayments compared to contract rates. Escalate payer contractual issues to payers and management of Sharp.
Required Qualifications

  • H.S. Diploma or Equivalent
  • 5 Years experience in all areas of billing and 4 years accounts management experience in a multi specialty medical group.


Preferred Qualifications

  • Bachelor's Degree with emphasis in finance, business administration or economics.
  • Experience in resolving difficult underpayment/denial issues, categorizing inventory into underpayment reasons, identifying root cause, recognizing trends and clearly and persuasively articulating issues to payor.


Essential Functions

  • Financial analysis and reporting
    Successfully file appeals/PDR's on non-clinical underpaid/denied claims and maintain standardized letters for use in training of account analysts. Required to explain new legislation impacting underpayments/denials etc.
    Trend and identify underpayment/denial issues for training purposes with the goal of mitigating future underpayments/denials. Work on ad hoc reports to reconcile inventory or identify opportunities for increased revenue collection using reporting tools.
    Assure the current quarterly, monthly, yearly insurance rates are obtained and loaded into the Contract Underpayment tool for accurate expected rate analyzation.
  • Productivity
    Focus appeal efforts on underpayments/denials with highest propensity for recovery, considering Payor appeal timeframes, Payor contract reimbursement, underpaid/denial reason, facility, patient type.
    Regularly meet projected collection goals and appeal productivity standards. Maintains excellent communication with supervisor/management and high accuracy of work.
  • Quality
    Using underpayment tool and billing software, review payor EOB, contract, payor website, etc. necessary to support basis for appeal. Must be cross-trained and file appeals outside assigned payor mix in the absence of fellow team member.
    Commence direct follow up action on appeals filed according to time frames.
  • System integration
    Provide ongoing training/feedback to account analysts to improve success rate on initial appeals/PDR's filed.
    Participate in meetings with Management, to review and consult on appeal denial trends to determine next step/action plan towards resolution.
  • Other duties, as assigned.


Knowledge, Skills, and Abilities

  • Must possess strong analytical and mathematical skills to resolve underpayment inventory.
  • Must be detail oriented and possess a diligent work ethic.
  • Strong communication and excellent interpersonal skills.
  • Team Player.
  • Knowledge of benefits, covered services, Managed Care (contract payor) reimbursement and billing procedures of both government and non-government insurance programs.
  • Familiarity with current regulations of affiliated payors.
  • Familiarity with MS excel required. Knowledge of ICD-9 and CPT-4 codes, and basic medical terminology.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class


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About Sharp HealthCare

Sourced by ZipRecruiter

Sharp HealthCare is a leading healthcare organization based in San Diego, CA, in the US. Founded in 1955, it serves as a critical part of the California healthcare industry, providing a wide range of medical services. The company owns and operates several hospitals, medical groups, and health plans, offering comprehensive healthcare solutions to the residents of San Diego County. The organization's mission is to improve the health of those it serves with a commitment to excellence in all that it does. This commitment is driven by its core values, dubbed "The Sharp Experience," which emphasizes understanding, empathy, and respect towards every individual.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

San Diego, CA, US

Year founded

1955

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