• Patient Account Associate II Payment Research…

    Intermountain Health (Broomfield, CO)
    …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... such as debits/credits, required + Experience with insurance claim appeals , required + Excellent computer skills (including Microsoft Office applications),… more
    Intermountain Health (08/08/25)
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  • Program Integrity Review Specialist

    State of Colorado (Denver, CO)
    …Management Information System (MMIS) + One or more years of professional experience analyzing claims data for billing accuracy + One or more years of ... plans, audit project progress, project work products, identified pre-payment claims denials, overpayments, requested informal reconsiderations, formal appeals ,… more
    State of Colorado (08/08/25)
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  • Risk Administrator (Hybrid)

    State of Colorado (Lakewood, CO)
    …making, LESO 1033 program administration, workers compensation and unemployment claims administration. Risk management, internal audits, compliance reviews and ... case manages all actions to ensure proper implementation. Risk Data Management Enters and maintains risk data ...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
    State of Colorado (08/08/25)
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  • Medical Records Reviewer

    State of Colorado (Denver, CO)
    …consistent application of MRU guidelines, including/exclusion standards, and data integrity principles across all packet-related processes. Minimum Qualifications, ... experience in these areas as a Paralegal or in Claims Adjustment because they do not represent the competencies...the official appeal form signed by you or your representative . This form must be completed and delivered to… more
    State of Colorado (08/08/25)
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  • Medical Coding and Fiscal System Administrator

    State of Colorado (Denver, CO)
    …decrease Medicaid fraud and abuse due to inappropriate billing practices. + Analyzes complex data and report design to support the rules and goals of Medicaid and ... accurate and detailed requirement specifications related to medical coding and claims processing. + Collects, analyzes and evaluates information to determine the… more
    State of Colorado (08/08/25)
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