Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...
Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...
Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...
Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...
Senior Product Manager
Franklin, TN · Remote
$122K - $161K/yr
Remote-USA As a Product Manager at Revecore, you will help hospitals recover more revenue through ... Partner with Product Management to analyze and define business problems across Underpayment ...
Senior Product Manager
Franklin, TN · Remote
$122K - $161K/yr
Remote-USA As a Product Manager at Revecore, you will help hospitals recover more revenue through ... Partner with Product Management to analyze and define business problems across Underpayment ...
Senior Machine Learning Engineer
Franklin, TN · Remote
$118K - $155K/yr
Remote - USA As a Senior Machine Learning Engineer (individual contributor) atRevecore, you will ... analysis, and software engineering to enhance the productivity and efficiency of our underpayment ...
Senior Machine Learning Engineer
Franklin, TN · Remote
$118K - $155K/yr
Remote - USA As a Senior Machine Learning Engineer (individual contributor) atRevecore, you will ... analysis, and software engineering to enhance the productivity and efficiency of our underpayment ...
Remote Underpayment Analyst information
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?
| Aspect | Remote Underpayment Analyst | Remote Billing Specialist |
|---|---|---|
| Required Credentials | Typically requires a degree in finance, accounting, or related field; certifications like CPC or CPA are common | Usually requires a high school diploma or associate degree; certifications like CPC are beneficial but not mandatory |
| Work Environment | Remote, healthcare or insurance companies, finance departments | Remote, healthcare, insurance, or healthcare provider organizations |
| Employer & Industry Usage | Used in healthcare, insurance, and finance sectors to identify and resolve underpayments | Commonly 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.
What are popular job titles related to Remote Underpayment Analyst jobs in Tennessee? For Remote Underpayment Analyst jobs in Tennessee, the most frequently searched job titles are:
- Freelance Remote Medical Coder
- Remote Outpatient Medical Coder
- Freelance Remote Hcc Medical Coder
- Full Time Remote Risk Adjustment Coder
- Flexible Travel Medical Coder
- Remote Volunteer Medical Coder
- Medical Coding Director
- Remote Medical Payment Posting
- Remote Certified Professional Biller Cpb
- Independent Contractor Anesthesia Coder
What job categories do people searching Remote Underpayment Analyst jobs in Tennessee look for? The top searched job categories for Remote Underpayment Analyst jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Underpayment Analyst jobs? Cities in Tennessee with the most Remote Underpayment Analyst job openings:
Full-time
Posted 22 days ago
EnableComp rating
8.7
Based on 8 frontline employees who took The Breakroom Quiz
44th of 479 rated business services
Job description
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
Position Summary
The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
- Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp's proprietary software, systems and tools.
- Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement.
- Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims.
- Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
- Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables.
- Ensures smooth operations and improves customer satisfaction.
- Other duties as required.
Requirements and Qualifications
- High School Diploma or GED required. Associates or Bachelor's Degree preferred.
- 5+ years' experience in healthcare field working in billing or collections.
- 1+ years' client facing/customer services experience.
- Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
- Equivalent combination of education and experience will be considered.
- Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
- Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
- Strong understanding of the revenue cycle process.
- Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements.
- Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims.
- Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms.
- Demonstrate strong ability to review client/payer contracts to identify complex underpayments.
- Regular and predictable attendance.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
- Practices and adheres to EnableComp's Core Values, Vision and Mission.
- Proven ability to meet and/or exceed productivity targets and goals.
- Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
- Must be a self-starter and able to work independently without direct supervision.
- Proven written and verbal communication skills.
- Strong analytical and problem-solving skills.
- Proven experience working with external clients; strong customer service skills and business acumen.
- Ability to prioritize and manage multiple competing priorities and projects concurrently.
- Must be able to remain in stationary position 50% of the time.
- Occasionally moves about inside the office to access office equipment, etc.
- Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
Don't just take our word for it! Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist
"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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About EnableComp
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Franklin, TN, US
Year founded
2000