Job description
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As an Underpayment & Contract Variance Analyst, you will analyze payer payments to identify instances where provider clients may have been reimbursed below their contracted rates. You will compare claims and payment data against payer contract terms, investigate discrepancies, and work with revenue cycle teams to support payment recovery and prevent recurring reimbursement issues.
WHAT YOU WILL DO
Review paid claims and compare reimbursement against applicable payer contract terms and fee schedules
Identify underpayments, incorrect adjustments, and other contract-related payment variances
Research claim history, payment details, and contract provisions to determine the cause of discrepancies
Quantify potential revenue recovery opportunities and prioritize issues for follow-up
Prepare supporting documentation for payment disputes, reconsiderations, and appeals
Coordinate with AR, denials, revenue integrity, and payer contracting teams to resolve identified variances
Track recovery activity and maintain accurate records of identified underpayments and outcomes
Identify recurring payer payment patterns and communicate findings to relevant teams
Prepare reports summarizing underpayments, recovery opportunities, and contract variance trends
WHAT WE ARE LOOKING FOR
2+ years of experience in healthcare revenue cycle, reimbursement analysis, payment integrity, or a related role
Strong understanding of healthcare reimbursement, payer payments, and revenue cycle processes
Experience comparing payments against contracts, fee schedules, or expected reimbursement
Ability to interpret EOBs, ERAs, payment details, and payer information
Strong analytical and problem-solving skills with excellent attention to detail
Ability to research payment discrepancies and identify their root causes
Strong Excel skills and experience working with financial or claims data
Ability to communicate findings clearly and collaborate with billing, AR, and payer teams
Ability to work independently and manage multiple analysis and recovery priorities in a remote environment
HIPAA-compliant private workspace
NICE TO HAVE
Experience with Medicare, Medicaid, and commercial payer reimbursement
Knowledge of payer contracts and fee schedules
Medical billing or coding experience
Experience with revenue integrity or payment variance analysis
SQL, Power BI, or other data analysis experience
Experience working with provider groups or hospitals
COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare revenue cycle expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.