- State of Colorado (Denver, CO)
- …telephone, and face-to-face discussions about insurance product lines, rates, and/or claims ; + Reviewing policy forms, and/or filings to ensure compliance with ... laws and regulations; + Handling of claims , policy services, compliance, and/or member services. + Certification, registration, or licensure as a Certified Insurance… more
- Intermountain Health (Brighton, CO)
- …Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. ... and resolves claims submission, disputes or complaints to resolution , as needed. Resolves billing/insurance issues and ensures compliance with departmental… more
- Sutherland Global Services (Denver, CO)
- …and distraction-free dedicated workspace **Duties & Responsibilities;** + Assist providers with claims and claims investigations + Status Inquiries + Denial ... Rationale + Appeals + Research and Routing + Explanation of Payments / Explanation...Specific Details + Outcome of the Call and Next Steps/ Resolution + Self-Service Options + Assisting providers with education… more
- Cardinal Health (Denver, CO)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance… more
- Cardinal Health (Denver, CO)
- …needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... based upon region and ensure proper communication of the resolution within required time frame agreed upon by the...region with the appropriate team * As needed conduct research associated with issues regarding the payer, physician's office,… more
- State of Colorado (Denver, CO)
- …activities (such as retaliation or interference) and also investigating fraudulent claims for benefits, auditors reviewing employer records to ensure premiums are ... Management skills + Must be able to perform independent research using a variety of websites and statutes +...the official appeal form signed by you or your representative . This form must be completed and delivered to… more