Underpayment & Contract Variance Analyst

About the role

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The Underpayment & Contract Variance Analyst will analyze payer payments to identify instances where provider clients may have been reimbursed below their contracted rates.

Key responsibilities

• 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.

Required profile

• 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 root causes.
• 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.

Required skills

• Excel
• SQL
• Power BI