Underpayment & Contract Variance Analyst

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