- Amgen (Denver, CO)
- …the entire reimbursement journey through payer prior authorization to appeals /denials requirements and forms + Review patient-specific information in cases ... years of customer service and/or leadership experience OR + Associate 's degree and 10 years of customer service and/or...in-depth knowledge of issues related to billing, coding, and appeals across physician types + Strong collaboration and ability… more
- Humana (Denver, CO)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... and care received. May also engage in disputes and grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers… more
- Amaze Health (Denver, CO)
- …Explain insurance coverage and costs in everyday language. + Denials and appeals : Support patients through denials and appeals , managing paperwork and ... (CPC) preferred. + Education: High school diploma or equivalent required; Associate 's degree preferred. + Language: Bilingual (Spanish/English) strongly preferred. +… more
- State of Colorado (Denver, CO)
- …Operations Manager will be responsible for working in tandem with the Associate Directors with regards to streamlining workflows, overseeing quality assurance, and ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information For… more
- Datavant (Denver, CO)
- …Meditech, 3M, Optum, SSI, Availity, and payer portals. + Submit and track appeals with payers, ensuring all documentation and deadlines are met. + Prepare and ... affecting claim adjudication. **What you will bring to the table:** + Associate 's or Bachelor's degree in Health Information Management, Health Administration, or… more
- Humana (Denver, CO)
- …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- University of Colorado (Denver, CO)
- …Denver Campus is a senior staff member of the Office of the Associate Vice-Chancellor for Facilities Management and Planning. The Director is responsible for ... resolution with consultants and contractors and assist others in the claims and appeals process as needed. + Serve as the Facilities Management and Planning… more
- Highmark Health (Denver, CO)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + ... + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + Experience… more
- Humana (Denver, CO)
- …population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more