- Sumitomo Pharma (Denver, CO)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Bausch + Lomb (Denver, CO)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... therapies. + Develop Key Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with… more
- CommonSpirit Health (Englewood, CO)
- …leadership experience. + Experience in healthcare **Strongly Preferred Experience** + Experience in payer contract analysis and payer process preferred + ... Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the creation and maintenance… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Denver, CO)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Option Care Health (Denver, CO)
- …**Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee ... schedule for all contracts for which invoices are submitted. Correctly determines quantities...48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for… more
- BrightSpring Health Services (Longmont, CO)
- …completed prior to invoicing, and statements are finalized, in accordance with contract and PharMerica's Client Billing Services Policies and Procedures. Join our ... accuracy and that actions taken are within accordance with contract and policies. Provide feedback and coaching to staff....staff. Report any identified training needs to Supervisor and Manager for further review and follow-up action plan, as… more
- BrightSpring Health Services (Longmont, CO)
- …completed prior to invoicing, and statements are finalized, in accordance with contract and PharMerica's Client Billing Services Policies and Procedures. Join our ... ensure tasks are completed within timelines set by the department manager through maintenance and accountability.* Supports and develops staff through one-on-ones,… more
- UCHealth (Denver, CO)
- …work-from-home opportunity but you must reside in Colorado. Department: UCHlth Denials Management Payer Audit FTE: Full Time, 1.0, 80.00 hours per pay period (2 ... of ADT, registration and pre-admit/admit processes. Maintains knowledge of contracts , billing, follow up, and cash applications processes. +...care. + 1 year as a utilization reviewer, case manager or equivalent revenue cycle RN role. Preferred: +… more
- Intermountain Health (Brighton, CO)
- …any reasons for cancellation. 9. Escalates non-routine issues to the practice manager or physician. 10. Greets patients. Answers phones, takes messages, returns ... insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine… more
- Intermountain Health (Brighton, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Thornton, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Lafayette, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more