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Remote Underpayments Analyst Jobs in California (NOW HIRING)

Peregrine Team

Collector III

Costa Mesa, CA · On-site +1

$23 - $33/hr

Location: Open to local candidates in Costa Mesa, CA (on-site) or remote candidates residing in ... Analyze claims, payments, denials, and underpayments to ensure accurate reimbursement. * Initiate ...

Peregrine Team

Collector II

Costa Mesa, CA · On-site +1

$22 - $31/hr

Location: Open to local candidates in Costa Mesa, CA (on-site) or remote candidates residing in ... Review claims and payment activity to identify underpayments, denials, and reimbursement ...

All JobsUnderpayments Analyst JobsRemote Underpayments Analyst JobsRemote Underpayments Analyst Jobs in California

Remote Underpayments Analyst information

What is the difference between Remote Underpayments Analyst vs Remote Accounts Receivable Specialist?

AspectRemote Underpayments AnalystRemote Accounts Receivable Specialist
CredentialsTypically requires finance or accounting certifications, such as CPA or similarOften requires accounting or finance background, with some roles preferring certifications like ARA or CPA
Work EnvironmentRemote, focused on analyzing underpayment issues within billing and paymentsRemote, managing invoicing, collections, and payment processing
Employer & IndustryHealthcare, insurance, or financial services companiesHealthcare, retail, or service industries

The Remote Underpayments Analyst primarily focuses on identifying and resolving underpayment issues in billing processes, requiring analytical skills and financial certifications. In contrast, the Remote Accounts Receivable Specialist manages overall receivables, invoicing, and collections. While both roles are remote and finance-related, they differ in specific responsibilities and focus areas.

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Remote Underpayments Analyst jobs near you

Collector III

Peregrine Team

Costa Mesa, CA • On-site, Remote

$23 - $33/hr

Full-time

Re-posted 24 days ago

Job description

Peregrine Team is seeking an experienced Collector III to join a leading healthcare organization. This role is responsible for resolving complex insurance and patient accounts, maximizing reimbursement, managing appeals, and serving as a resource to team members. The ideal candidate brings deep knowledge of hospital billing, managed care contracts, government payors, and revenue cycle operations.
Location: Open to local candidates in Costa Mesa, CA (on-site) or remote candidates residing in Georgia, Iowa, Indiana, Missouri, Nebraska, North Carolina, Tennessee, Texas, Utah, Wisconsin, or Wyoming.
Key Responsibilities:
  • Manage and resolve complex insurance and patient accounts within assigned work queues.
  • Analyze claims, payments, denials, and underpayments to ensure accurate reimbursement.
  • Initiate and manage appeals while meeting all filing and timely appeal requirements.
  • Interpret EOBs and ERAs to identify payment discrepancies and resolve outstanding balances.
  • Research and resolve billing, coding, authorization, and reimbursement issues.
  • Communicate effectively with insurance carriers, patients, and internal departments to facilitate account resolution.
  • Document account activity, correspondence, and follow-up actions within patient accounting systems.
  • Maintain a strong understanding of managed care contracts, reimbursement methodologies, and federal and state regulations.
  • Serve as a resource for escalated account issues and complex reimbursement scenarios.
  • Support onboarding and training of new team members.
  • Identify opportunities for process improvement and recommend enhancements to workflows and procedures.
  • Consistently meet or exceed productivity and quality standards.
  • Participate in special projects and other duties as assigned.

Required Qualifications:
  • High school diploma or equivalent.
  • 5+ years of experience in hospital billing, healthcare collections, accounts receivable, or revenue cycle operations.
  • Working knowledge of Epic Resolute, EpicCare, Epic CPOE, and reporting tools.
  • Working knowledge of Microsoft Excel.

Preferred Qualifications:
  • Strong knowledge of commercial, managed care, and government payors, including Medicare, Medi-Cal, and Tricare.
  • Experience managing denials, appeals, underpayments, and complex account resolution.
  • Understanding of hospital billing practices, including UB-04 and HCFA-1500 claim forms.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent communication and customer service abilities.
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About Peregrine Team

Sourced by ZipRecruiter

Our Vision I started Peregrine Team with superior customer service and quality in mind. Going back to the basics. My team exists to challenge the lazy, idle and often sloppy recruiting and staffing teams out there. We see agency after agency spending less time with the people, not caring about what individuals are looking for when making a career move. Sourcing top talent is not easy in the current environment, but listening and caring about others will create trust, lasting partnerships and overall success. Whether you are looking for a job or looking for talent, we can help manage the process. We are a team of hunters, able to find and hire quality experienced professionals for any organization. We primarily specialize in placement of professionals in the Healthcare & Life Science space, but will take on any challenge. We simply do things differently.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Orange County, CA, US

Year founded

2021

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