• Underpayment Analyst

    R1 RCM (Detroit, MI)
    …analytics, AI, intelligent automation, and workflow orchestration. As our Underpayments Analyst you have the primary role of validating and reviewing hospital ... variables impacting reimbursement, diagnose the root cause of the underpayment and work with other support teams to achieve...with payer and the action required to resolve the underpayment . + Document the account to provide information and… more
    R1 RCM (09/05/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations ... Analyze claim outcomes and identify trends or discrepancies related to over- or underpayment . + Utilize QNXT to research claims history, provider contract setup, and… more
    Molina Healthcare (07/24/25)
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