Underpayment Analyst

About the role

Auxis is hiring an Underpayment Analyst to investigate and resolve underpayments. The role covers validating discrepancy codes, negotiating additional payments from payers, overcoming objections and obtaining payment commitments, and reporting trends to management.

Key responsibilities

• Perform and validate discrepancy reason coding in the underpayment inventory.
• Manage additional payments from payers through phone calls, online platforms or payment package processes.
• Overcome objections preventing claim payment and obtain payment commitment using concise, fact-based collection techniques.
• Communicate trends to management as they are identified, including those suitable for the dispute resolution process.
• Facilitate corrections of underpayment discrepancies not related to non-payment through I-Plan changes or coordination with other departments.
• Escalate accounts to the appropriate people within the payer and through SSC management, including accounts with untimely responses.
• Maintain solid documentation of actions taken on each account and meet productivity and quality standards.

Required profile

• High school diploma.
• Minimum 1 year of experience in customer service or Accounts Receivable (AR) roles; QA experience is a plus.
• English and Spanish, oral and written at B2 level or above.
• Ability to work independently and in a team, with strong attention to detail and clear written and verbal communication.

Required skills

• Proficiency in Microsoft Office and other applications as required.
• Understanding of organizational policies, procedures and systems.

What we offer

• Health benefits including medical, vision and dental.
• Training and development programs and an employee recognition program.
• Paid time off, family-paid leave and a paid day off for your birthday.