- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Denver, CO)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Denver, CO)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. _As required by law, Sedgwick provides a ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Carrington (Denver, CO)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Denver, CO)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- State of Colorado (Denver, CO)
- Field Audit Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5141384) Apply Field Audit Supervisor Salary $95,892.00 - ... address at least three days per week and at the discretion of the supervisor . The Department of Labor and Employment keeps Colorado strong and competitive. We… more
- Cardinal Health (Denver, CO)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Thornton, CO)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Cardinal Health (Denver, CO)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- University of Colorado (Boulder, CO)
- …operates independently and exercises sound judgment in collaboration with their supervisor , making decisions that support unit success and ensure compliance with ... supervisors to develop semesterly hiring plans. + Recruit, collect, and review student applications; conduct interviews and extend employment offers. + Assign… more
- RK Mechanical (Aurora, CO)
- …supervise day-to-day operations of staff teams on assigned projects. + Initiate, review and oversee required project administration and documentation to avoid ... claims and protect the best interest of RK Mechanical,...agreements are expeditiously secured, reviewed, processed and executed. + Review , edit, finalize and distribute project budget. + Conduct… more
- Cardinal Health (Denver, CO)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Walgreens (Thornton, CO)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Service Source (Lakewood, CO)
- …These duties and responsibilities will be rated on the Annual Performance Review . + Assist in SSI/SSDI benefit acquisition as appropriate utilizing SOAR model ... principles including screening review , application assistance including completion of all required forms...Manage an ongoing caseload of initial and first reconsideration claims . + Request and maintain medical, physiological, school, work… more
- CVS Health (Denver, CO)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more
- Walgreens (Commerce City, CO)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more