What are the responsibilities and job description for the Claims Reimbursement Analyst position at Voto Consulting LLC?
Position- Claims Reimbursement Analyst, Local
Location- Denver, CO
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?
Thanks & Regards
Shivam Rajpal
Team Lead- US IT Recruitment
Desk- 201-578-5388 X 106
Email- Shivam@votoconsulting.com
LinkedIn- https://www.linkedin.com/in/shivam-rajpal-b7a58912a/
Voto Consulting LLC- M/WBE Certified Company
www.votoconsulting.com