Role Description As an Underpayment Analyst within our Revenue Integrity team, you hold a pivotal position in ensuring hospitals receive accurate compensation for the services they provide. Your role involves examining hospital claims to verify proper reimbursement and working with stakeholders to resolve issues and optimize reimbursement processes while adhering to regulatory guidelines and organizational policies. Strong analytical skills, attention to detail, and problem-solving skills are essential in this role. Responsibilities - Utilize company best practices along with technology-enabled worklist and other internal tools to identify discrepancies between expected reimbursement and actual reimbursement amounts from insurance carriers. - Investigate reasons for discrepancies, such as payment variances, coding errors, billing discrepancies, or incorrect application of payer policies. - Contact insurance companies to obtain missing information, explain and resolve underpayments, and arrange for payment or adjustment processing on behalf of the client. - Prepare and submit correspondence such as letters, emails, faxes, online inquiries, appeals, adjustments, reports, and payment posting. - Maintain thorough documentation, including root cause of underpayment issues, trends, outcomes, and lessons learned to support ongoing improvement efforts and knowledge sharing within the organization. - Actively participate in discussions, meetings, and brainstorming sessions where team members contribute insights and suggestions for improving processes. - Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities. - Other duties as assigned. Qualifications - High school diploma or equivalent required. - Investigative and problem-solving skills to identify underpayments and discrepancies. - Knowledge of healthcare billing, coding, and reimbursement methodologies. - Strong analytical abilities to dissect complex guidelines and understand their implications on claims reimbursement. - Ability to navigate and interpret various payer policies, including Medicare, Medicaid, and Commercial insurance guidelines. - Detail-oriented approach to ensure accuracy in applying guidelines and documenting findings for audit and compliance purposes. - Effective communication skills to collaborate with internal teams, payers, and external stakeholders. - Experience with healthcare billing software and databases (EPIC, Cerner, Meditech). - Familiarity with legal and regulatory frameworks governing healthcare reimbursement, such as HIPAA, CMS regulations, and state-specific requirements. - Moderate computer proficiency including MS Excel, Word, and Outlook. - Possess technical proficiency to work on multiple computer screens and software applications simultaneously. - Previous experience working in a remote environment. Requirements - A quiet, distraction-free environment to work from in your home. - A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required. - The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive. - Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check. Benefits - Competitive compensation with eligibility for a quarterly bonus. - Comprehensive medical, dental, vision, and life insurance benefits from day 1. - 12 paid holidays and flexible paid time off. - 401(k) with company match. - Employee Resource Groups that build community. - Career growth opportunities. - An excellent work/life balance.

• Configure, build, test, maintain, and optimize the Epic Lumens application to support gastroenterology and endoscopy clinical workflows. • Partner with physicians, nurses, operational leaders, and IT stakeholders to gather requirements and translate business needs into effective Epic solutions. • Support new implementations, upgrades, enhancements, and ongoing optimization initiatives within the Lumens application. • Analyze workflows and recommend system improvements that enhance efficiency, quality, and user satisfaction. • Develop training materials, provide end-user education, and support go-live activities. • Troubleshoot application issues, perform root cause analysis, and drive timely resolution of system-related concerns. • Participate in project planning, testing, change management, and cross-functional initiatives impacting clinical operations. • Collaborate with other Epic application teams to ensure seamless integration and workflow alignment across the organization.

• Administrar e monitorar a infraestrutura de servidores Windows e a rede corporativa (LAN/WAN/Wi-Fi). • Gerenciar contas, permissões e acessos através do Active Directory e ferramentas LDAP/ITIM. • Prestar suporte técnico de nível avançado aos usuários, solucionando problemas de alta complexidade. • Desenvolver scripts para automatizar tarefas repetitivas e rotinas de backup/manutenção. • Monitorar a segurança da informação na ponta (endpoints) e na rede, mitigando vulnerabilidades. • Apoiar no planejamento e na execução de melhorias de cabeamento e infraestrutura física/lógica.

• Own analysis end-to-end across the business: scope the question, pull and validate the data, run the analysis, and land on a clear answer • Analyze business and operational performance across verticals; identify and quantify the drivers behind changes in orders, revenue, margin, and customer behavior • Run deep-dive investigations into performance trends and problems, separating signal from noise and diagnosing the underlying root cause rather than the symptom • Build financial and operational models to size opportunities and evaluate the impact of pricing, promotions, incentives, and product or operational changes • Conduct unit economics, profitability, cohort, retention, and trend analysis across customer segments, order types, and business initiatives • Pressure-test assumptions and business cases with data, and challenge conclusions that the numbers do not support • Translate analytical findings into clear, concise insights and concrete recommendations for stakeholders • Support a broad range of analytical projects and exploratory analysis as business priorities evolve