- CVS Health (Denver, CO)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- The Cigna Group (Denver, CO)
- …our customers. **Core Responsibilities:** + Ability to quickly learn manual and claim experience rating models and related pricing tools. + Perform case-specific ... issues. Possesses an in depth understanding of manual rating models, claim experience projections, pricing tools, pricing adjustments and available plan designs.… more
- Highmark Health (Denver, CO)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Cognizant (Denver, CO)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... + 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Deloitte (Denver, CO)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… more
- State of Colorado (Denver, CO)
- Special Financing Data Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4939695) Apply Special Financing Data Analyst Salary ... people of diverse backgrounds and abilities. We are looking for a Special Financing data analyst to join our Finance team! As part of the State of Colorado, HCPF… more
- Robert Half Finance & Accounting (Englewood, CO)
- Description We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the ... utilizing your skills in a diverse set of roles including processing claims , maintaining customer records, and resolving inquiries. Responsibilities: + Manages and… more
- CVS Health (Denver, CO)
- …And we do it all with heart, each and every day. **Position Summary** Sr. Analyst will act as a primary resource for all dental products (DHMO, PPO, Medicare) for ... not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues. Documented… more
- Evolent (Denver, CO)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in… more
- Evolent (Denver, CO)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Denver, CO)
- …internship + Experience with financial forecasting + Familiarity or experience with medical /pharmacy claims + Familiarity with PowerQuery/BI/VBA + Ability to ... more connected care journey. We are hiring an Actuarial Analyst to join our Actuarial Services Team. **What You'll...Actuarial Services Team. **What You'll Be Doing:** The Actuarial Analyst will inform decision making across the company and… more
- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Product Development efforts. **What You'll… more
- VF Corporation (Denver, CO)
- **What will you do?** The Customs Compliance Analyst is to provide support in customs compliance for the VF Outdoor Coalition. The Analyst is charged to assist ... track export shipment data required for the purpose of filing duty drawback claims with US Customs + Facilitates communication and information sharing with customs… more
- Humana (Denver, CO)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …leaders who care about your success. The Revenue Integrity Charge Analyst provides support to intradepartmental staff encompassing patient charge related functions, ... data verification and compliance. Resolves DNB and billing edits that delay claims form processing within the organizations and/or clearinghouse systems by analyzing… more
- Holcim US (Lakewood, CO)
- Credit and Collections Analyst Requisition ID: 12761 Location: Lakewood, CO, US, 80401Gilbert, AZ, US, 85234 Pay Type: Salary Estimated Wage Range $58,800 - ... bond statutes and accurate filing of lien and bond claims . + Responsible for the review and process of...Choose from 401(k) pre-tax and/or Roth after-tax savings + Medical , Dental, Disability and Life Insurance + Holistic Health… more
- Highmark Health (Denver, CO)
- …and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal ... strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem identification and resolution activities,… more
- CommonSpirit Health (Englewood, CO)
- …Professional Billing Admin experience required** + **Resolute Professional Billing Claims experience required** + **Cogito Certification experience preferred** + ... Professional Billing Admin experience required** + **Resolute Professional Billing Claims experience required** + **Cogito Certification experience preferred** +… more
- CVS Health (Denver, CO)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Highmark Health (Denver, CO)
- …identified opportunities. This position will necessitate clinical informatics and medical knowledge. **ESSENTIAL RESPONSIBILITIES** + Leads the design, development, ... 7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project leadership… more