Claims Reimbursement Analyst

Remote • Posted 8 hours ago • Updated 8 hours ago
Contract W2
Contract Independent
Contract Corp To Corp
12 Months
No Travel Required
Able to Sponsor
Remote
$23/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Claims
  • Adjuster

Summary

Claims Reimbursement Analyst
Remote initially hybrid after 12 months
12 Months
Denver/CO

 

We are looking for a Claims Reimbursement Analyst for a Denver-based health plan client. This is a 12-month contract with potential to convert to full-time. 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.
Candidates must be local to Denver or surrounding areas, or willing to relocate after the contract period. The role converts to hybrid with 2-3 days on-site per week..             

Candidate Pre-screening Questions:
1.    Walk me through how you would manually price a complex Medicare claim without a tool.
2.    Which of the following have you worked with hands-on: DRG, OPPS, APC, site-neutral, No Surprises Act, EAPG, MAC pricing, per diems, LTAC?
3.    Have you ever interpreted CMS guidance or transmittals independently to determine how a claim should pay?

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91093714
  • Position Id: 8982047
  • Posted 8 hours ago
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