- Intermountain Health (Denver, CO)
- …related to upcoming visit with Intermountain providers or scheduled procedures prior authorization requirements. Coordinates provider peer to peer interactions ... **Job Description:** The Referral Representative processes insurance pre- authorization for primary and specialty service office visits and testing. Receives and… more
- Crown Equipment Corporation (Aurora, CO)
- Human Resources Representative 1 Location: Aurora, CO, US, 80011 **Company Description:** Crown Equipment Corporation, one of the world's largest lift truck ... focus on new employee retention. Participate in exit interviews. + Employee Relations Representative - Provide support in all aspects of employee relations. Be the… more
- Intermountain Health (Broomfield, CO)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... **Job Description:** The Patient Service Representative (PSR) serves as the first connection between...necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and… more
- Intermountain Health (Wheat Ridge, CO)
- …is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual insurances and notify patients. **This is a ... service office visits. Resolves pre- certification, registration and case-related concerns prior to a patient's appointment. Verifies insurance coverage or lack… more
- Surgery Care Affiliates (Colorado Springs, CO)
- …to other departments when necessary. + Does pre-registration and makes sure that authorization is obtained from the physician's office prior to surgery ... scheduled. Completes necessary paperwork for registration and uses computer system to generate information for surgical/special procedure. + Maintains log for cancelled appointments. + Performs various clerical duties such as photocopying forms, reports,… more
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- …PHI, when a signed, written request is received, or upon the Veteran's valid authorization to a third party. Ensures that only the information that the Veteran ... Provides direct customer service to the Veteran, their Personal Representative or third party by providing copies of the...written request is received or upon the Veteran's valid authorization to a third party. Incumbent is responsible for… more
- Highmark Health (Denver, CO)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- State of Colorado (Golden, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... prior authorization requests to ensure accuracy and...the State Personnel Board website. + You or your representative must sign and submit the official appeal form… more
- State of Colorado (Denver, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... prior authorization requests to ensure accuracy and...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- Intermountain Health (Lafayette, CO)
- …on appropriate accounts to determine insurance coordination of benefits, pre-certification/ prior - authorization . Complete the Medicare Secondary Payer (MSP) ... demographic, clinical, procedural, and prep information with the patient or representative . This position also enhances the Provider experience by offering a… more
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