- State of Colorado (Denver, CO)
- Part-Time, Term-Limited Complex Claims Compliance Investigator I Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054518) Apply Part-Time, ... Term-Limited Complex Claims Compliance Investigator I Salary $58,872.00 - $70,617.00 Annually...all parties, and would be upheld if any party appeals . CIs receive training, coaching, and continuing education -… more
- Cardinal Health (Denver, CO)
- …as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and accurate ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Banner Health (CO)
- …Health the best place to work and receive care. **The PFS** ** Representative ** **(Ambulatory** **Billing** **)** is responsible for working through the billing ... activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a… more
- State of Colorado (CO)
- …stakeholders, including providers. Dutes in this position include: Outside Medical: + Analyzes claims using independent judgment to assess and determine how to pay ... claims based on contractual agreement and rates + Drafts...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (CO)
- …(HIO)! The ESI Division of HIO exists to manage and enhance computerized claims processing and information management systems in order to assure timely and accurate ... Medicaid and Child Health Plan Plus (CHP+) claims processing and payments in an environment of rapid...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (CO)
- …Wage and Hour Investigations unit is statutorily obligated to investigate all claims received and investigates approximately 4,000 complaints each year. In 2024, the ... (CWA). Investigators on the Retaliation Team process over 200 claims per year and have ordered over half a...all parties, and would be upheld if any party appeals . CIs receive training, coaching, and continuing education -… more
- State of Colorado (Denver, CO)
- …matters. The Unit manages litigation from inception through hearings and appeals , including fully contested claims , challenges to specific disability ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
- State of Colorado (CO)
- …(HIO)! The Systems Division of HIO exists to manage and enhance computerized claims processing and information management systems in order to assure timely and ... Department of Human Services (CDHS), Behavioral Health Administration (BHA) claims processing and payments in an environment of rapid...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (CO)
- …& UA Testing Section of HIO exists to manage and enhance computerized claims processing and information management systems and implement and maintain the Colorado ... and Federal audits of the MMIS and resulting Medicaid claims reimbursement, provider enrollment and medical benefit coverage. This...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (CO)
- …and Equal Employment Opportunity Commission (EEOC) charges; + Review appeal claims , gather information, and track decisions; + Counsel appointing authorities on ... medical providers, legal counsel, other Human Resources personnel, workers' compensation claims adjusters, and CDOC executives regarding the administration of rules,… more