- Humana (Denver, CO)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... + The initial 120 days of employment as a Claims Research & Resolution Representative 2 constitute an appraisal period. This Appraisal Period is… more
- Intermountain Health (Denver, CO)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- State of Colorado (Denver, CO)
- …Information Office include enhancing and maintaining the Department's health care claims payment system (Medicaid Management Information System or MMIS) and client ... future of Medicaid. The work unit exists to manage and enhance computerized claims processing and information management systems in order to assure timely and… more
- Peak Vista (Colorado Springs, CO)
- …met to include Health Resources Services Administration (HRSA), Federal Tort Claims Act (FTCA), Accreditation Association of Ambulatory Health Care (AAAHC), ... processes, root cause analysis, risk assessments, audits, analysis of trends, claims analysis and review of pertinent quality improvement information with a… 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