Underpayment AnalystHudson Regional Hospital • Clifton, NJ, US
Underpayment Analyst
Hudson Regional Hospital • Clifton, NJ, US
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]Ability to identify trends, patterns, and discrepancies in data. Excellent communication skills : Ability to communicate effectively with both internal staff and external payers. Strong organizational skills : Ability to manage multiple tasks and prioritize work effectively. Proficiency in relevant software : Familiarity with claims management systems, billing software, and Microsoft Excel. Knowledge of healthcare industry : Understanding of coding, billing, and reimbursement processes. Experience with denials and underpayments : Previous experience in pursuing resolutions with third-party payers. High school diploma or GED required. Two or more years of experience : In managed care reimbursement, hospital billing, or related fields is preferred. Bachelor's degree : In finance, economics, business, or a related field is often preferred but not required.
Position Summary
Reviews hospital claims data to identify underpayments and pursue resolutions with third party payors.
Job Duties
- Review hospital-managed care contracts : To determine expected reimbursements and identify potential underpayments. Familiarize yourself with the rates.
- Assist with ensuring software is accurately estimating the expected payment amounts. Provide feedback to the Contract Management software team any updates or modifications needed
- Utilize Contract management software to identify contractual discrepancies and billing errors.
- Communicate with third-party payers via correspondence and phone to resolve claims and recover lost revenue.
- Work with inter-departmental customers (HIM, Registration, IT, Clinical departments) to gather necessary information and documentation to support appeals and resolutions.
- Maintain records of actions taken and resolutions achieved.
- Generate reports and queries : Use software like Microsoft Excel and Contract Management Software to analyze data and create reports.
- Provide feedback to management regarding trends and issues
- Adhere to policies and procedures related to HIPAA, FDCPA, and other applicable laws.
- Performs other duties as assigned
Qualifications and Skills
Education, Experience and Certification / Licensure Requirements
[job_alerts.create_a_job]
Analyst • Clifton, NJ, US
[internal_linking.related_jobs]
Senior Analyst / Supervising Analyst.The Mayor's Office of Management and Budget (OMB) is the City government's chief financial agency.
OMB's staff of analysts and experts assembles and oversees the M...[show_more]
Underwriting & Portfolio Management Analyst.Country : United States of America.Santander is a global leader and innovator in the financial services industry.
We believe that our employees are our...[show_more]
The Payments Fraud Analytics Lead, leads the Bank's fraud prevention and risk management activities for payment systems to mitigate both the Bank's and our clients' exposure to potential fraudulent...[show_more]
Bayview Asset Management is seeking to hire an investment professional to serve as a Residential Mortgage Loan Analyst to support its newly established Insurance Asset Management business.Partnerin...[show_more]
IMPORTANT NOTE : ONLY CANDIDATES WHO HAVE A PERMANENT ACCOUNTANT OR COMPARABLE CIVIL SERVICE TITLE WILL BE CONSIDERED FOR AN INTERVIEW.
PLEASE INCLUDE YOUR EMPLOYEE IDENTIFICATION NUMBER (EIN) AND IN...[show_more]
Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exch...[show_more]
Grasshopper is a client-first digital bank serving small businesses startups and investors supporting them across the innovation economy.
Our digital solutions cover small business venture-backed co...[show_more]
Job Type : Officer of Administration.Standard Work Schedule : 9AM-5PM, M-F.Building : 3 Columbus Circle, New York, NY 10019.
The salary of the finalist selected for this role will be set based on a var...[show_more]
Capital Mrkts Sales & Service.Supports the origination and structuring of corporate lending transactions and coordinates with other products as an integral part of a larger coverage team that m...[show_more]
Cisco Finance Internship Program.This role may be eligible for remote work in the United States depending on business needs and hiring manager approval.
Cisco Finance is a global organization compri...[show_more]
Online Payments team in New York City and lead critical initiatives across our global payment ecosystem.This role focuses on card processing flows acquirer connectivity and dependencies across inte...[show_more]
Relevant experience as business DATA analysis, business analysis or system analysis.Experience in data governance data management or related roles including support of data standards / policies.Exper...[show_more]
Business Analyst - Payment Platform.Business Analyst - Payment Platform.Location : Hybrid onsite in New York, NY, or Boston, MA.
Duration : 6+ month contract; Strong potential for extension / full tim...[show_more]
Please note this posting is to advertise potential job opportunities.This exact role may not be open today but could open in the near future.
When you apply, a Cisco representative may contact you d...[show_more]
Department of Health and Mental Hygiene.Street, Long Island City, NY 11101.Assistant Director of Fiscal Management.M-F, 9am -5pm.
35 hours per week.Workplace Flexibility Modality.Hybrid, 3 days in ...[show_more]
Please note this posting is to advertise potential job opportunities.This exact role may not be open today but could open in the near future.
When you apply, a Cisco representative may contact you d...[show_more]
Actuarial Analyst - Renters / Travel Insurance.We are seeking a motivated and analytically strong Actuarial Analyst with 3-4 years of experience to join our dynamic team.
This position will focus on s...[show_more]
Medical Payments and Fee Schedules Analyst.Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care.
We believe that Health care is a right, not a privilege.If...[show_more]
Analyst - INTERFUND AGREEMENTS
NYC Jobs • New York, NY, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Underwriting & Portfolio Management Analyst
Santander Holdings USA Inc • New York, NY, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Payments Fraud Analytics Lead
City National Bank • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Analyst, Residential Mortgage Loan
Bayview Asset Management • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Payment Analyst
City of New York • New York, NY, United States
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Medical Payments and Fee Schedules Analyst
NYC Health Hospitals • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Payment Specialist, Wires
Grasshopper Bank • New York City, New York, USA
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Provider Capacity Analyst
Columbia University • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Analyst, Corporate Banking- Project Finance
Bank of Montreal • New York City, New York, USA
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Finance Analyst I (Intern) - United States
USA Jobs • New York, NY, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Payment Solutions Manager
Payoneer • New York City, New York, USA
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Payment Business Analysis
Cynet Systems • Jersey City, NJ, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Sr. Business Analyst - Payment Platform
NYC Staffing • New York, NY, US
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Finance Analyst I (Intern) - United States
Cisco • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Payment Analyst
Fund for Public Health in New York • Long Island City, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Finance Analyst I (Intern) - United States
Cisco Systems, Inc. • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Actuarial Analyst - Renters / Travel Insurance
AmTrust Financial • New York, NY, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Medical Payments and Fee Schedules Analyst
MetroPlus Health Plan • New York, NY, United States
[job_card.full_time] +1
[last_updated.last_updated_30] • [promoted]