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Investigate hospital claims to identify and resolve underpayments by analyzing reimbursement discrepancies, contacting payers, preparing correspondence, documenting root causes and trends, and supporting process improvements while ensuring regulatory compliance.

Review hospital claims to identify underpayments, investigate causes (coding, billing, payer policies), contact insurers to resolve discrepancies, prepare correspondence and adjustments, maintain documentation and trends, and collaborate to improve reimbursement processes while ensuring regulatory compliance.

Lead end-to-end development, deployment, and improvement of production ML systems to rank claim recovery opportunities. Perform EDA, research new model architectures, implement cloud MLOps, measure business impact, and mentor teammates while owning a technical workstream.

Review hospital claims to identify and resolve underpayments by investigating discrepancies, contacting payers, preparing correspondence, documenting root causes and trends, and supporting process improvements while ensuring regulatory compliance.

Investigate and resolve denied or troubled workers' compensation medical claims by making high-volume outbound calls to employers, insurers, attorneys and patients. Submit bills and documentation to payers, review responses, determine next steps to maximize client payments, and contribute to team projects and performance goals.

Handle high-volume outbound calls to investigate, bill, and resolve workers' compensation medical claims. Submit bills and documentation, follow up on denials, collaborate on special projects, and meet productivity metrics while using provided equipment and company systems.

Handle high-volume outbound calls to investigate, bill, and resolve workers' compensation medical claims for provider clients. Submit documentation to payers, research denials, maximize payments, meet productivity metrics, and support team projects. Complete required training and maintain on-camera presence while working remotely from an approved home workspace.

Investigate and resolve denied or troubled workers' compensation medical claims through high-volume outbound calls to employers, insurers, attorneys, and patients. Submit bills and documentation to payers, review payer responses, escalate or rework claims to maximize client payments, and support team projects to meet performance goals.

The Underpayment Analyst will verify reimbursement claims for hospitals, investigate discrepancies, contact insurers, maintain documentation, and ensure compliance in reimbursement processes.

As an Auto Claims billing specialist, make high-volume outbound calls to investigate and maximize payments on medical claims to insurance companies, ensuring prompt bill submission and follow-ups as needed.