- BrightSpring Health Services (Englewood, CO)
- …incoming/outgoing correspondence, medical records , payer/patient refunds, payer audits, appeals , and providing Revenue Cycle Management (RCM) support . The ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
- Cardinal Health (Denver, CO)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... necessary & must be knowledgeable of a variety of Insurance Plans and Policie **Responsibilities** + Submit authorizations for...to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity.… more
- Highmark Health (Denver, CO)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- State of Colorado (Denver, CO)
- …+ Employer supplementedHealth Savings Account (https://www.colorado.gov/pacific/dhr/hsa) + Paid life insurance + Short- and long-term disability coverage + 11 paid ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, atspb.colorado.gov/board-rules. Supplemental Information For questions regarding… more
- State of Colorado (CO)
- …Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Employment ... employees a variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please click the following… more
- Evolent (Denver, CO)
- …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Adecco US, Inc. (Colorado Springs, CO)
- …case outcome, follow-up or consultation such as prior authorization requirements, appeals , etc. . Educate members / guardians, providers, pharmacy staff on ... available for our associates include medical, dental, vision, life insurance , short-term disability, additional voluntary benefits, EAP program, commuter benefits… more
- State of Colorado (CO)
- …Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Employment ... employees a variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please click the following… more
- Stantec (Denver, CO)
- …culture, and connecting across borders with some of the world's top talent appeals to you, join us. The successful candidate will work on challenging and ... purchase program, life and accidental death & dismemberment (AD&D) insurance , short-term/long-term disability plans, emergency travel benefits, tuition reimbursement,… more
- State of Colorado (Lakewood, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Equity, ... employees a variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please click the following… more