- State of Colorado (CO)
- …the Health Information Office (HIO)! 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 (Denver, CO)
- …provider maintenance activities, standard operating procedures, claim payments, escalated claims , appeals and provider assistance. Typical duties include, ... of related professional experience in business operations, call center, or medical claims processing. OR Education and Experience: A bachelor's degree from an… more
- State of Colorado (CO)
- …data sources in order to develop and evaluate provider rates, such as claims and eligibility data, provider encounter data, cost reports, and Medicare rate ... and other data, including, but not limited to administrative claims data, survey data, geographic information, and other publicly...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Highmark Health (Denver, CO)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and performance standards are consistently… more
- State of Colorado (CO)
- …Section employs professionals serving as specialists in specific industries and are assigned claims which are significant in size and data from both individuals and ... Analyst to perform in depth reviews and analysis regarding claims for refunds that are often complex in nature....the official appeal form signed by you or your representative . This form must be completed and delivered to… more
- State of Colorado (Denver, CO)
- …up pharmaceuticals and paperwork from the units, process Medicare Part D claims , coordinates pickup and removal of pharmaceutical wastes with vendor, answering ... to treatment units, fill prescriptions, process Medicare part D claims , and issue pharmaceutical credits back to clients: +...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (Lakewood, CO)
- …to inquiries, and document findings accurately. + Applies Lottery laws, rules, and claims procedures by serving as a subject matter expert in enforcement matters + ... resolves disputes involving retailers, vendors, and customers regarding prize claims or compliance issues. + Provides guidance to retailers...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (Denver, 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 ... to maintain a neutral third party role in investigating claims , assuring all parties a fair opportunity to be...all parties, and would be upheld if any party appeals . CIs receive training, coaching, and continuing education -… more
- State of Colorado (Denver, CO)
- …a family member, caregiver, or suvivor of any said veteran by filing claims for disability compensation, pensions, survivor benefits, or any other benefits which ... Service Officer who manages and maintains a caseload of claims ; + evaluating individual circumstances of veterans, identifying their...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (Durango, CO)
- …construction quality assurance, contractor payment processing, writing contractor claims for adjustments and disputes, handling contract terminations, closing ... includes the responsibility to act as the fully authorized representative of CPW for the project. Ensure contractor performance...of the department's action. For more information about the appeals process, the official appeal form, and how to… more