Underpayment Recovery Specialist

Additional Position Details: FTE: 1.000000 | Full Time | Primarily Mon - Fri / 8AM - 5PM

Please Note: This is a remote position. Candidates will be required to have reliable broadband internet and personal cell phone service. Remote work may include online training and working day-to-day operations during Pacific Standard business hours.

Salary Range: $23.28-$32.02 per hour, depending on experience 

Position Summary

The Underpayment Recovery Specialist is responsible for investigating, validating, and actively pursuing reimbursement discrepancies to ensure accurate payment in accordance with payer contract terms. This role focuses on the detailed review of identified underpayments, preparation and submission of appeals or disputes, and follow-through to resolution. The Underpayment Recovery Specialist partners with Payer Relations, Patient Financial Services, and Revenue Intelligence to support recovery efforts, identify patterns of underpayment, and contribute to improved payer performance. This role plays a critical part in protecting revenue, reducing revenue leakage, and improving the net collection rate. 

Position Qualifications

Required Experience

• 2 years of experience in healthcare revenue cycle, with a focus on one or more of the following: Claims follow-up, denials or appeals management, or reimbursement analysis
• Demonstrated ability to investigate claim issues and determine root cause
• Experience working with payer guidelines, contracts, or reimbursement methodologies
• Strong attention to detail with the ability to identify discrepancies in payments and documentation
• Ability to manage multiple cases and follow through to resolution in a timely manner

Education

• High School Diploma or equivalent is required 
• Associate's degree in Healthcare Administration, Business, or an applicable field is preferred 

Total Rewards

We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:

• Competitive Pay: Hourly and salaried positions earn market-based compensation. 
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
• Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
• Paid Time Off: Generous ETO for part-time and above employees.
• Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
• Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:

Excellence - Respect - Honesty - Service - Teamwork

Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.