- TEKsystems (Englewood, CO)
- Overview We are seeking a highly analytical and proactive Revenue Cycle Appeals Specialist to join our team. This role is ideal for someone with strong experience in ... appeals , denials, and insurance follow-up within the healthcare revenue...cause analysis to determine next steps. 2. Rebilling & Appeals Submission + Focus on claims ready for appeal-already… more
- Evolent (Denver, CO)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator** **,** ** Appeals and Grievances** at Evolent will serve as a point of contact for ... processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements, and client contractual agreements.… more
- Cognizant (Denver, CO)
- ** Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years...to improve efficiency and patient satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify… more
- Humana (Denver, CO)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and… more
- Humana (Denver, CO)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage… more
- Adams County Government (Brighton, CO)
- …The Deputy District Attorney performs professional legal work in the litigation of appeals in the Adams and Broomfield District Courts, Colorado Court of Appeals ... of Duties for Success + Litigates misdemeanor and traffic appeals arising from County Court cases and felony ...appeals arising from County Court cases and felony appeals from District Court cases. + Reviews court records… more
- State of Colorado (Denver, CO)
- …of consume r protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... of civil rights violations, fair housing, and workers' rights. + Criminal Appeals Section: Represents the state when defendants challenge felony convictions in the… more
- State of Colorado (Denver, CO)
- …be submitted on the official appeal form, signed by you or your representative. Appeals to the State Personnel Board or the State Personnel Director must be received ... or postmarked within the filing period: Appeals shall be filed with the Board no later...### Email filings: dpa_###@state.co.us For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …This position provides meaningful opportunities to take cases to trial, brief and argue appeals , and be a problem-solver. Given the complex nature of the work, the ... to enforce campaign and political finance laws; defending civil litigation and appeals before state and federal courts; prosecuting civil actions and appeals… more
- State of Colorado (Denver, CO)
- …of consumer protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... in tort cases, including negotiation and all stages of litigation through appeals . + Work with and assist District Attorneys, managing settlement funds, directing… more