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Remote Underpayment Analyst Jobs (NOW HIRING)

NTT Data Americas, Inc.

$20/hr

Author overpayment/underpayment determinations and coordinate appeals * Quality & Compliance ... Reporting & Analytics * Prepare production, pending, and quality reports * Identify trends and ...

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53.70K - $67.80K/yr

Interpret payment variances and payer guidelines to monitor for underpayment opportunities ... Strong analytical and problem-solving skills, with attention to detail * Ability to work ...

Pivotal Health

FP&A Manager

New York, NY · Remote

$155K - $180K/yr

Today, many providers face persistent underpayment from health insurance companies, despite ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...

Pivotal Health

Implementation Lead

Los Angeles, CA · Remote

$160K - $185K/yr

Today, many providers face persistent underpayment from health insurance companies, despite ... Data-driven and analytical, with the ability to use insights and metrics to guide decisions and ...

Pivotal Health

Implementation Lead

New York, NY · Remote

$160K - $185K/yr

Today, many providers face persistent underpayment from health insurance companies, despite ... Data-driven and analytical, with the ability to use insights and metrics to guide decisions and ...

Pivotal Health

Senior Client Success Manager

New York, NY · Remote

$140K - $160K/yr

Today, many providers face persistent underpayment from health insurance companies, despite ... Remote and hybrid flexibility varies by role and team, and is outlined in each . If you're excited ...

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Remote Underpayment Analyst information

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$31K

$73.3K

$130K

How much do remote underpayment analyst jobs pay per year?

As of May 31, 2026, the average yearly pay for remote underpayment analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Underpayment Analyst, and why are they important?

To thrive as a Remote Underpayment Analyst, you need strong analytical skills, knowledge of medical billing and reimbursement processes, and typically a degree in finance, healthcare administration, or a related field. Familiarity with claims management systems, Excel, and often certifications like Certified Revenue Cycle Specialist (CRCS) or Certified Professional Coder (CPC) is valuable. Attention to detail, problem-solving abilities, and effective written communication are crucial soft skills for this role. These skills ensure accurate identification and resolution of payment discrepancies, directly impacting revenue recovery and organizational efficiency.

How does a Remote Underpayment Analyst typically collaborate with other departments to resolve payment discrepancies?

Remote Underpayment Analysts frequently work with teams such as billing, claims, and customer service to investigate and resolve payment discrepancies. They often communicate via email, video calls, and shared documentation tools to gather necessary details, clarify issues, and ensure timely resolution. Building strong relationships and maintaining clear communication with these departments is key, as problem-solving often requires input from multiple stakeholders. This collaborative approach enhances efficiency and ensures accurate and consistent financial outcomes.

What is a Remote Underpayment Analyst?

A Remote Underpayment Analyst is a professional who works from a remote location to review, investigate, and resolve payment discrepancies, typically within healthcare, insurance, or financial services. Their primary responsibility is to identify cases where payments received are less than what was expected or contractually agreed upon. They analyze claims, contracts, and payment data to determine the root cause of underpayments and often communicate with payers or clients to recover lost revenue. This role requires strong analytical skills, attention to detail, and knowledge of billing and reimbursement processes. Working remotely, they use digital tools and secure platforms to perform their duties efficiently.

What is the difference between Remote Underpayment Analyst vs Remote Billing Specialist?

AspectRemote Underpayment AnalystRemote Billing Specialist
Required CredentialsTypically requires a degree in finance, accounting, or related field; certifications like CPC or CPA are commonUsually requires a high school diploma or associate degree; certifications like CPC are beneficial but not mandatory
Work EnvironmentRemote, healthcare or insurance companies, finance departmentsRemote, healthcare, insurance, or healthcare provider organizations
Employer & Industry UsageUsed in healthcare, insurance, and finance sectors to identify and resolve underpaymentsCommonly employed in healthcare and insurance to process and manage billing

The Remote Underpayment Analyst focuses on identifying and resolving underpayments in healthcare or insurance claims, requiring analytical skills and specific certifications. In contrast, the Remote Billing Specialist handles billing processes, often with less emphasis on analysis. Both roles are remote and industry-specific, but their core responsibilities differ significantly.

More about Remote Underpayment Analyst jobs
What cities are hiring for Remote Underpayment Analyst jobs? Cities with the most Remote Underpayment Analyst job openings:
What are the most commonly searched types of Underpayment Analyst jobs? The most popular types of Underpayment Analyst jobs are:
What states have the most Remote Underpayment Analyst jobs? States with the most job openings for Remote Underpayment Analyst jobs include:
What job categories do people searching Remote Underpayment Analyst jobs look for? The top searched job categories for Remote Underpayment Analyst jobs are:
Remote Underpayment Analyst jobs near you
Infographic showing various Remote Underpayment Analyst job openings in the United States as of May 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Lead Business Analyst

Futran Tech Solutions Pvt. Ltd.

Remote

Full-time

Posted 24 days ago

Job description

Position: Lead Business Analyst - Claims Payment Integrity (Healthcare exp must need)
Contract/Full Time
Remote
Role Summary
The Lead Business Analyst provides strategic and operational leadership for business analysis initiatives supporting Claims Payment Integrity (PI) across Medicare, Medicaid, Commercial & Employer markets. The role drives revenue impact identification, root-cause analysis, and business rule translation, while guiding analysts and influencing stakeholders across operational, actuarial, and technical teams.
This role requires deep domain expertise, strong analytical judgment, leadership in cross-functional problem solving, and an ability to work across multi-source healthcare datasets.
Key Responsibilities
• Lead end-to-end business analysis efforts across claims adjudication, payment integrity reviews, appeals, audit recovery, and FWA investigations.
• Drive revenue-based opportunity identification, including duplicate claims detection, pricing/contract errors, eligibility misalignment, underpayment/overpayment root causes, and leakage prevention.
• Serve as the primary liaison between business sponsors, PI SMEs, actuarial partners, provider teams, and technical build teams.
• Interpret healthcare guidelines, policies, contract rules, and benefit logic and translate them into actionable business rules and functional requirements.
• Lead formulation, validation, and refinement of requirements, acceptance criteria, and business rule logic for PI interventions.
• Review data quality, impact assessments, and financial projections across PI initiatives.
• Mentor and guide Business Analysts, ensuring consistency, analytical rigor, and adherence to documentation standards.
• Lead complex issue remediation: deep-dives into claim-level patterns, provider-level anomalies, pricing variances, member eligibility mismatches, and systemic process gaps.
• Support leadership-level reporting, audit responses, regulatory inquiries, and controls documentation.
• Participate in roadmap design, prioritization sessions, operational reviews, and cross-functional working groups.
Domain & Data Expertise (Required)
• Familiarity with Call Center datasets (member & provider contact/call data) for identifying navigation issues, provider abrasion signals, or member experience indicators tied to PI.
• Experience working with Provider RCM data (billing patterns, coding, prior auth, clinical documentation alignment).
• Exposure to EHR / Clinical datasets for validating medical necessity, care patterns, and crosswalks to claims.
• Experience with PI-specific reporting, including:
o Duplicate claim identification
o Pricing anomalies
o Eligibility issues & benefit mismatches
• Understanding of actuarial reporting, forecasting dashboards, or cost-of-care analytics used for PI impact sizing.
Required Qualifications
• Bachelor's degree in Business, Health Administration, Finance, or related field
• 8+ years of Business Analysis experience in Healthcare (Onshore)
• Strong leadership, decision-making, and stakeholder management skills
• Excellent analytical and problem-solving skills
• Proven experience interpreting claims adjudication rules, payment policies, or benefit structures
• Experience facilitating cross-functional workshops, JAD sessions, and requirements reviews
• Exceptional written and verbal communication
• Strong time management; ability to handle multiple priorities
• Proven ability to work independently and collaboratively
Preferred Qualifications
• Experience in Claims PI, FWA, Provider Contracting, Billing, or RCM
• Medicare / Medicaid domain depth
• SQL for data exploration, validation, and reporting
• Familiarity with PBM, eligibility logic, or provider credentialing systems

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