- CenterWell (Denver, CO)
- …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
- HCA Healthcare (Denver, CO)
- …is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) AVP ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Humana (Denver, CO)
- …+ Previous encounter submissions experience + Prior internship or experience in healthcare data management, claims processing, or actuarial services + Working ... knowledge of Microsoft SQL or SAS + Understanding of healthcare encounter data and basic knowledge of claims submission and reconciliation processes. + Strong… more
- Humana (Denver, CO)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
- Humana (Denver, CO)
- … healthcare fraud investigations and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong ... skills to make an impact** **WORK STYLE:** Work at Home . While this is a remote position, occasional travel...AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process… more
- Humana (Denver, CO)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + ... + Bachelor's degree + Minimum 3 + years of healthcare fraud investigations and auditing experience + Knowledge of...operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of… more
- Colorado State University (Fort Collins, CO)
- …on CSU grounds or in buildings. Live in Fort Collins Fort Collins has been home to CSU since the University's inception in 1870. It is a vibrant, friendly city ... CSU Health Network. Required Job Qualifications Education + Bachelor's degree in healthcare management, Business Management or related field Experience + Eight years… more
- Humana (Denver, CO)
- …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
- Oracle (Denver, CO)
- …MS Excel, MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At ... **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home ** Oracle Life Sciences is seeking a qualified health outcomes… more
- Colorado State University (Fort Collins, CO)
- …"America's Best Employers by State!" The CSU Health Network is every student's home for health and well-being at Colorado State University. We are committed to ... + Strong customer service skills + Expert in processing insurance claims , handling rejections, and prior authorizations Knowledge, Skills, Abilities, and… more