- Insight Global (Greenwood Village, CO)
- …* Review patient account details including demographics, insurance coverage, and billing data prior to claim submission * Submit claims to insurance ... * Investigate and resolve claim denials through re-billing, corrected claims , or appeals * Document all activities...resolve billing issues * Ensure compliance with HIPAA and data security protocols We are a company committed to… more
- State of Colorado (CO)
- …for managing business process improvement in a professional setting for a large data , claims and integration system. 09 List any additional relevant experience ... Enterprise Solutions Integration (ESI) Business & Data Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5123867) Apply Enterprise Solutions… more
- State of Colorado (Denver, CO)
- …Coloradans. What we do: Retail Operationsprovides the sale of Lottery products, claims processing, redemption of prizes, and customer service at the Pueblo, Denver, ... Grand Junction, and Ft. Collins Claims Counters, including providing customer service support to retailers,...from many levels within the organization and community. + Data Entry including: entering information into a program or… more
- State of Colorado (Denver, CO)
- …dose cassettes). + Issues credits back to clients. + Process Medicare Part D claims . + Completes associated paperwork and computer data entry. Package and Fill ... of inventory for (near) outdated medication for removal and replacement, data entry, ordering and restocking pharmaceuticals and supplies, pre-packaging and labeling… more
- State of Colorado (Jefferson County, CO)
- …include all aspects of each nursing staff member's job description. + Assesses any claims of policy violation and alerts the Director of Nursing and Human Resources ... Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure Manual, Affirmative Action...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims processing. The unit collaborates with the benefit managers to implement policies. ... unit supports the various state and federal audits of the MMIS and claims reimbursement, provider enrollment, provider relations and medical benefit coverage. We are… more
- State of Colorado (Colorado Springs, CO)
- …job duties and responsibilities include but are not limited to: + Determine if claims presented by offenders in each grievance are viable and entitled to relief by ... decision making skills; + Ability to research and gather data ; + Skilled in the Microsoft office suite; +...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Highmark Health (Denver, CO)
- …of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- University of Colorado (Denver, CO)
- …policy.oAssist in dispute resolution with consultants and contractors and assist others in the claims and appeals process as needed. + Serve as the Facilities ... the State Architect. Additionally, the Director serves as a representative for CU Denver on various internal and external...to be taken on the basis of analysis of data . May include prioritizing multiple responsibilities and/or accomplishing them… more
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