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Underpayment Analyst Jobs in California (NOW HIRING)

Pivotal Health

RevOps Analyst

Santa Monica, CA · On-site +1

$120K - $140K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Today, many providers face persistent underpayment from health insurance companies, despite ... About the Role We're looking for a Senior Analyst, Revenue Operations to help lead our pro forma ...

Balboa United, LLC

Revenue Cycle Manager

San Diego, CA · Hybrid

$90K - $110K/yr

Support payer contract modeling, variance analysis, and underpayment appeals. * Partner with contracting and finance teams to improve net revenue performance. Financial Analytics & Reporting * Track ...

Balboa Nephrology

Revenue Cycle Manager

San Diego, CA · On-site

$90K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Analyze denial trends, identify root causes, and implement corrective action plans. * Oversee insurance and self-pay A/R follow-up, underpayment recovery, and payer escalation strategies. Payer ...

Pivotal Health

Staff Data Scientist

Santa Monica, CA · On-site

$150 - $210/hr

Today, many providers face persistent underpayment from health insurance companies, despite ... The right person will use AI actively for exploration, analysis, iteration, experimentation, and ...

MMC Group

Reimbursement Counselor

San Bruno, CA · On-site

$19.50/hr

Researches and resolves any claim denials or underpayment of claims * Effectively utilizes various ... Works on problems of moderate scope where analysis of data requires a review of a variety of ...

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Underpayment Analyst information

See California salary details

$34.5K

$74.6K

$130.3K

How much do underpayment analyst jobs pay per year?

As of Aug 14, 2026, the average yearly pay for underpayment analyst in California is $74,616.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,300.00 and $90,300.00 per year, depending on experience, location, and employer.

What does an underpayment analyst do?

An Underpayment Analyst is responsible for identifying, analyzing, and resolving payment discrepancies, typically in healthcare or finance settings. They review contracts, payment records, and claims to ensure accurate reimbursement and recover any underpaid amounts. The role involves working with insurance companies, clients, and internal teams to address payment variances. Strong analytical skills and attention to detail are essential for success in this position.

What types of challenges might underpayment analysts encounter in their daily work?

Underpayment Analysts often face challenges such as analyzing complex claims data, identifying payment discrepancies, and tracing the root causes of underpayments from insurers or clients. They may also work to resolve conflicting information and manage tight deadlines when following up on outstanding receivables. Collaborating with billing departments, insurance payers, and sometimes directly with clients is common, requiring proactive communication and persistence. These challenges offer valuable experience in revenue cycle management and can provide strong career growth opportunities within finance or healthcare administration teams.

What are the key skills and qualifications needed to thrive as an underpayment analyst?

To thrive as an Underpayment Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare administration, or a related field. Familiarity with claims processing systems, Excel, database tools, and sometimes certifications like Certified Revenue Cycle Specialist (CRCS) are valued. Excellent communication, problem-solving, and organizational abilities help you effectively navigate complex payment discrepancies and collaborate with internal and external stakeholders. These skills are crucial to accurately identifying and resolving underpayment issues, ensuring revenue accuracy, and supporting organizational financial health.

What are the most commonly searched types of Underpayment Analyst jobs in California?

The most popular types of Underpayment Analyst jobs in California are:

What are popular job titles related to Underpayment Analyst jobs in California?

For Underpayment Analyst jobs in California, the most frequently searched job titles are:

What job categories do people searching Underpayment Analyst jobs in California look for?

The top searched job categories for Underpayment Analyst jobs in California are:

Underpayment Analyst jobs near you
Infographic showing various Underpayment Analyst job openings in California as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 8% Part Time, 2% Temporary, and 6% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $74,616 per year, or $35.9 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 9 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 887 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

What Sharp HealthCare employees say

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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

Social media

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