- Highmark Health (Denver, CO)
- …Inc. **Job Description :** **JOB SUMMARY** This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. ... a courteous, helpful and timely manner. + Interact with staff to implement processes and problem solves. + Respond...review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource… more
- 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
- State of Colorado (Denver, CO)
- …+ Employer supplemented Health Savings Account (https://www.colorado.gov/pacific/dhr/hsa) + Paid life insurance + Short- and long-term disability coverage + 11 paid ... program impact and accountability. + Training and Capacity Building: Support staff , leaders and stakeholders in understanding grant requirements and operational… more
- State of Colorado (Colorado Springs, CO)
- …day of occurrence. Customer Service: * Position is responsible to communicate with staff , students, and families in a friendly, courteous, helpful manner. * Position ... is responsible to sign to students, staff , and families, utilizing their level of sign skills. * Position is responsible to attend sign class on a weekly basis, and… more
- BrightSpring Health Services (Englewood, CO)
- …regulations and company policies. TheRefund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
- Intermountain Health (Brighton, CO)
- …and complete information is collected and entered into the system, verifies insurance and eligibility, collects co-pays and balances, follows up on pending issues, ... in the department. Assists with the follow up on appeals , denials, answer inquiries and update accounts as necessary....Revenue Service Center, Care Management team, Payer Relations and insurance companies in a timely manner. + Provides support… more
- BrightSpring Health Services (Englewood, CO)
- …Specialist (CBS-II) will be responsible for facilitating the resolution of insurance and patient credit balances. The Credit Balance Categorization Specialist ... (CBS-II) will also work closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. REMOTE - must reside within… more
- Evolent (Denver, CO)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency… more
- State of Colorado (CO)
- …agencies and state agencies with a Group 1 purchasing delegation. + Agency staff seek technical guidance from this position regarding IT price agreements and ... do business with the State. + Participate and meet with procurement staff from local governments, states and other cooperative purchasing entities, attend… more
- Evolent (Denver, CO)
- …outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a physician`s input ... expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls)...+ Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely… more