- Montrose Memorial Hospital (Montrose, CO)
- …requirements, utilizing available clinical resources for documentation improvement, and facilitating appeals for coverage denials. All About You : + High school ... diploma or GED; Prior Authorization experience preferred. + Able to achieve minimum level of core competencies and knowledge of procedure authorizations. + Basic understanding of human anatomy. + Identifies primary and secondary payers, based on established… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …edit, and follow up), and review denials for possible corrected claims or appeals . Coder II will work with clinic supervisors and/or providers to resolve coding ... issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state… more
- CVS Health (Denver, CO)
- …written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals . + Ensures all compliance requirements are satisfied and ... that all payments are made following company practices and procedures. + Review and handle relevant correspondences assigned to the team that may result in adjustment to claims. + May provide job shadowing to lesser experience staff. + Utilize all resource… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... from anywhere in the hospital, provided they meet unit criteria. Our mission is to deliver excellent, patient-centered care through teamwork and compassion. We are seeking to attract individuals who want to be part of an exceptional group of talented nurses… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …provide excellent patient-centered care with teamwork and compassion. Our department appeals to anyone interested in furthering their skillset, specifically in the ... realms of cardiac or neurological patients and who wishes to be part of an amazing group of talented nurses who are genuinely passionate about the care of our patients Nurses are at the heartbeat of our organization and your time will be spent in a supportive,… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... from anywhere in the hospital, provided they meet unit criteria. Our mission is to deliver excellent, patient-centered care through teamwork and compassion. We are seeking to attract individuals who want to be part of an exceptional group of talented nurses… more
- Elevance Health (CO)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... embassy located in or outside of the US. + A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * _For Health Solutions and Carelon organizations (including behavioral… more
- State of Colorado (Rio Blanco County, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information This ... posting may be used to fill one or more similar positions in the future. CNCC recognizes the importance of a workforce that is reflective of our diverse student community. As such, we are interested in selecting the best candidate from a diverse pool.… more
- State of Colorado (Teller County, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Equity, ... Diversity, and Inclusion Compliance The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The… more
- State of Colorado (Denver, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A ... completed State of Colorado application includes: + Unofficial transcripts if using education to substitute for experience. + DD214 if claiming veterans status . The Selection Process: All applications that are received by the closing of this announcement will… more