McLaren Health Care · 1 month ago
Underpayment Specialist Central Billing Office
McLaren Health Care is seeking an Underpayment Specialist to perform audits of patient accounts to identify inaccurately under adjudicated accounts by the payer. The role involves coordinating audit outcomes, working closely with Revenue Cycle leadership, and identifying process improvements for claims adjudication.
Health CareHospitalMedicalOncologyRehabilitation
Responsibilities
Under minimal direction, completes tasks accurately and timely. Seeks guidance and direction from leadership on tasks assigned
Responds promptly, professionally and courteously to customers’ requests
Cooperates and communicates effectively with all McLaren Health Care team members
Contributes to continuous quality improvement efforts
Organizes time and prioritizes effectively
Practices cost effective measures
Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources
Qualification
Required
Associate degree required or equivalent combination of education and relevant experience may be acceptable
Four years healthcare insurance billing experience
Proven skills in Microsoft Office, specifically Excel and Word, Window based applications
Strong quantitative analytical and organization skills
Demonstrated exceptional oral and written communication
Team-oriented with strong interpersonal skills
Ability to understand contracted insurance terms and the various insurance payment methodologies/reimbursement terms
Working knowledge of CPT, HCPCS, and ICD-10
Effectively communicate with the insurance carriers and their representative and customers
Preferred
previous auditing experience preferred
Company
McLaren Health Care
McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.
Funding
Current Stage
Late StageTotal Funding
unknown2021-01-01Acquired
Leadership Team
Recent News
2025-11-10
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