- Humana (Denver, CO)
- …our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The ... Pharmacy Claims Representative 2 performs varied activities and moderately complex administrative/operational/customer...+ Ability to handle multiple tasks, meet deadlines, and follow -up timely + Must be passionate about contributing to… more
- Highmark Health (Denver, CO)
- …+ Respond to inbound phone sales inquiries and make outbound follow -up calls to prospective Highmark Government Markets members. + Document outcomes ... eligible individuals while adhering to company policies, National Association of Insurance Commissioners (NAIC) guidelines, state and CMS regulations. + Drive… more
- State of Colorado (Pueblo, CO)
- …+ Schedules clinical consultation meetings for provider/clinical team member with the insurance representative as needed. Other Duties as Assigned: + ... as needed. + Contact employee supervisor to require employee follow up for identified HIPAA violations to assure HIPAA...Third party payers include, but are not limited to Medicare , Medicaid, Tri-Care, and private insurance carriers.… more
- State of Colorado (Pueblo, CO)
- …assigned shift on the unit by creating and maintaining processes to communicate and follow up with assigned staff so that standards are kept in compliance + Must ... supporting staff compliance with hospital wide mandatory training + Directs staff to follow various manuals, standards and regulations to include but not limited to:… more
- Aveanna Healthcare (Colorado Springs, CO)
- …essential job function in a consistent state of alertness and safe manner. * Follow and comply with all Aveanna safety rules and practices. * Health maintenance ... activities. The above statements are intended to be a representative summary of the essential job functions performed by...years of age. * Ability to read, write, and follow written instructions and document care given. * Self-directing… more
- State of Colorado (Arapahoe County, CO)
- …and/or staff for medical care as needed or requested. Provide notification, follow -up and other required/pertinent documentation. In the event of medical emergency, ... per DYS Policy provide medical attention and follow up as necessary. + Assigns staff to post...name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
- State of Colorado (Grand Junction, CO)
- …Support Services. Actively and with positive engagement, implement and follow the facility behavioral management program. Communicate expectations for behavior, ... according to prevailing program standards related to privileges and consequences. Follow daily program schedule based on prevailing standards. Recognize, implement,… more
- State of Colorado (Lakewood, CO)
- …Youth Center Programming. Actively and with positive engagement, implement and follow the Youth Center's behavioral management program, teach, coach, and redirect ... of Employment & Appeal Rights Please read the entire job announcement and follow all of the instructions prior to completing the application. You must provide… more
- State of Colorado (Denver, CO)
- …Responsible to track all prior authorization requests to ensure accuracy and follow -through. Participates or selects a candidate to represent medical on a number ... care to include but not limited to optometry clinics and dental clinics and follow up on recommendations made by those providers. Collaborates directly with the DYS… more
- State of Colorado (Lakewood, CO)
- …materials dailyAdhere to Code of Conduct and professional norms of behavior. Follow leave policy and procedures. And Other Duties as Assigned. Minimum ... of Employment & Appeal Rights PLEASE READ THE ENTIRE JOB ANNOUNCEMENT AND FOLLOW ALL OF THE INSTRUCTIONS PRIOR TO COMPLETING THE APPLICATION. YOU MUST PROVIDE… more