- BrightSpring Health Services (Englewood, CO)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating ... prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM - 5:30PM This position has… more
- Cardinal Health (Denver, CO)
- …and/or Medical Claims billing and Coding work experience + 1-2 years' experience with Prior Authorization and Appeal submissions + Ability to work with high ... + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage...the product must be fully exhausted + Track any payer /plan issues and report any changes, updates, or trends… more
- University of Colorado (Aurora, CO)
- …as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. + Communicate with ... communicates patient's potential financial liability directly to the patient prior to medical services being rendered based on insurance...and functions as a liaison between the patient and payer to answer reimbursement questions and avoid… more
- Mitsubishi Chemical Group (Denver, CO)
- …primarily between the Managers of Patient Access, Sales and the broader Payer and Trade/Distribution team. The field-based incumbent is responsible for ensuring ... the analytics team, will review and analyze data across Payer , SP, and the HUB and operationalize that data,...requiring a broad range of market access expertise including reimbursement , patient access, and managed care. + Based on… more
- Walgreens (Lone Tree, CO)
- …all external billing practices including but not limited to third party adjudications, prior authorization , and patient financial assistance programs in order to ... order of importance and/or time spent)** + Submit timely, accurate invoices to payer for products and services provided. + Correctly determine quantities and prices… more
- Mitsubishi Chemical Group (Denver, CO)
- …any potential pipeline products; displaying fluency in patient services, access, reimbursement , coverage, coding and data analytics. Will drive success to ... Bachelor's degree required; advanced degree preferred + Minimum of 8 years in reimbursement , contract strategy, managed care sales or marketing, or a closely related… more