Claims Reimbursement Analyst
Voto Consulting LLC
Position- Claims Reimbursement Analyst, Local Type- W2/C2C- Hybrid (2-3 days/week on-site) Visa- USC, GC only The role focuses on complex Medicare reimbursement policy and claims adjudication — not basic fee‑for‑service review. Ideal candidates have hands‑on experience with Medicare reimbursement methodologies, can manually price claims without a tool, and can clearly explain reimbursement concepts to non‑technical stakeholders. Candidate Pre‑screening Questions: Walk me through how you would manually price a complex Medicare claim without a tool. Which of the following have you worked with hands‑on: DRG, OPPS, APC, site‑neutral, No Surprises Act, EAPG, MAC pricing, per diems, LTAC? Have you ever interpreted CMS guidance or transmittals independently to determine how a claim should pay? #J-18808-Ljbffr Voto Consulting LLC
Vacancy posted 2 days ago
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