- Zurich NA (Denver, CO)
- Marine Claims Specialist II 126114 Zurich North...coverage. + Work to have a timely resolution to claims by developing case strategy; developing a ... America is hiring a Marine Claims Senior Claims Specialist Role (With Hull...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager II ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... drive the future of health care The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- State of Colorado (Denver, CO)
- …integrity functions and activities of the Medicaid Program, specifically pre-payment claims review activities occurring within the FWA Division. Typical duties ... Medicaid Program, including conducting and participating in provider pre-payment claims reviews and investigations, coordinates review projects and audit schedules… more
- Highmark Health (Denver, CO)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more