Remote
•
2d ago
Our direct client is looking for QA Analyst Payment Integrity and Claims Repricing. Location: Remote, CTH after 6 months Please send me your rate, contact details and current location. Key Responsibilities Claims Repricing Validation Validate claim repricing based on:Provider contractsFee schedules (CPT/HCPCS based)DRG/APC logicPercentage of billed chargesMedicare-based pricingVerify allowed amount, patient responsibility, and payer liability calculations.Test in-network vs out-of-network pric
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