• Associate Underpayment Follow-Up Specialist

    Job ID
    Employment Type
    Saddle River
    Hours Per Week
  • Overview

    The Associate Underpayment Follow-up Specialist will recover lost revenue for hospitals and physicians related to underpayments.  The individual will review accounts previously billed by the Underpayment Recovery Billing Specialists to managed care networks.  The Associate Underpayment Follow-up Specialist will review his or her work list to continue pursuit of underpayments verbally, electronically, or in paper format.  The rep will provide feedback to the Underpayment Billing Specialists as opportunities for improvement are identified.



    • Reviews accounts appealed to managed care companies to continue pursuit of lost revenue.
    • Contacts appropriate managed care organization via phone, electronic communication, and paper to ensure expeditious processing of underpayment appeals
    • Where appropriate, aggregates underpayment trends for expedited processing
    • Manages assigned work list of underpaid accounts by utilizing Summit work flow tools
    • Provides feedback to Manager as well as Underpayment Billing Specialists regarding false positive and true underpayment issues
    • Maintains a high level of accuracy of follow-up while maintaining thorough and concise notes recording all communication with managed care companies
    • When necessary updates reason for pursuit and pursued amounts to accurately reflect current information
    • Maintains a positive tone to all communication with managed care representatives while discussing underpaid accounts
    • Carries accounts through to completion
    • When necessary, assigns the appropriate reason for account closure
    • Identifies additional reimbursement posted to accounts in billed statuses
    • Reviews accuracy of additional payments posted to accounts prior to submitting for invoicing
    • Utilizes payer portal websites, client patient account systems, internal technology to continually validate activity, payment accuracy, and account status



    • MinimumTwo-year degree
    • Experience reviewing and appealing managed care underpayments
    • Ability to review and understand managed care contract language and payment methodology
    • High degree of skill in contexts requiring negotiation
    • Familiar with ICD-9, CPT Coding, revenue codes, UB and HCFA billing formats
    • Knowledge of/experience working with provider billing
    • Experience working with customer support/client issue resolution management
    • Strong analytical acumen

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.


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