Underpayment & Contract Variance Analyst

New

Raventra HealthMedical Services

United StatesFull-TimeMiddle

Salary not disclosed

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Job Details

2+ years of experience in healthcare revenue cycle, reimbursement analysis, payment integrity, or a related role
Strong understanding of healthcare reimbursement, payer payments, and revenue cycle processes
Experience comparing payments against contracts, fee schedules, or expected reimbursement
Ability to interpret EOBs, ERAs, payment details, and payer information
Strong analytical and problem-solving skills with excellent attention to detail
Ability to research payment discrepancies and identify their root causes
Strong Excel skills and experience working with financial or claims data
Ability to communicate findings clearly and collaborate with billing, AR, and payer teams
Ability to work independently and manage multiple analysis and recovery priorities in a remote environment
HIPAA-compliant private workspace

Review paid claims and compare reimbursement against applicable payer contract terms and fee schedules
Identify underpayments, incorrect adjustments, and other contract-related payment variances
Research claim history, payment details, and contract provisions to determine the cause of discrepancies
Quantify potential revenue recovery opportunities and prioritize issues for follow-up
Prepare supporting documentation for payment disputes, reconsiderations, and appeals
Coordinate with AR, denials, revenue integrity, and payer contracting teams to resolve identified variances
Track recovery activity and maintain accurate records of identified underpayments and outcomes
Identify recurring payer payment patterns and communicate findings to relevant teams
Prepare reports summarizing underpayments, recovery opportunities, and contract variance trends

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