Medical Claims Jobs in Colorado
Accenture Denver, CO
Qualifications Basic Qualifications • High School diploma, GED or equivalent • Minimum 5 years' medical claims processing/examining experience • Minimum 3 years' claims auditing experience • Minimum 5 years’ experience in group insurance, health care products and the managed care environment • Minimum 2 years’ experience with Microsoft Office Suite - Excel, Word, Outlook Preferred Skills...
Streffco Consultants, Inc., is an international technical staffing and systems integration organization. We provide technology and business operations resources on a project, contract, contract-to-hire or direct hire basis. Title: Claims Accounting Research Technician Industry: Healthcare Location: Aurora, CO Pay Rate Range: Depends on Experience (W-2 all inclusive rate) Purpose and Descripti...
Kaiser Permanente Aurora, CO, 80041
Investigates/researches paid claims that may have been processed incorrectly, either by system errors, contract changes or adjudicator errors and adjusts as needed. Makes members/patients/providers and their needs a primary focus of one's actions; develops and sustains productive member/patient/provider relationships. Actively seeks information to understand member/patient/provider circumstances, ...
Sedgwick Claims Management Services, Inc. Aurora, CO, 80041
Claims Associate - Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sed...
Kaiser Permanente Denver, CO, 80208
**Represents 13 positions** Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives daily workflow...
DaVita Denver, CO, 80208
The Healthcare Economics team analyzes and interprets medical claims data and communicates findings and recommendations to multidisciplinary groups. This role oversees the day to day work of the analysts on the team bringing technical mastery, advanced analytical insight, and quality assurance to the above deliverables. The position will be directly responsible for managing several external client...
American Family Insurance Group Englewood, CO, 80110
Position Details There are two open positions: one in Denver, CO and one in Phoenix, AZ. Position Objective The Medical Services Specialist reviews files to identify medical legal issues. Prepares file summaries and complex reviews of medical claim information on Casualty/Bodily Injury files for Claims in a variety of high impact areas. Provides medical document summaries and critiques complica...
Description Investigates/researches paid claims that may have been processed incorrectly, either by system errors, contract changes or adjudicator errors and adjusts as needed. Makes members/patients/providers and their needs a primary focus of one's actions; develops and sustains productive member/patient/provider relationships. Actively seeks information to understand member/patient/provider ci...
Description *Represents 3 Positions** Responsible for accurate & complete research, recording & processing of returned & refund checks in conjunction w/ recovery activities, & in accordance w/ Unclaimed Property, Vendor Accounting & Check Receipts procedures. Quality review of claim and/or pre-authorization data element submitted on claims/bills/pre-authorization against data applied to the Clai...
Kaiser Permanente Denver, CO
Description **Represents 13 positions** Adjudicates medical claims/bills for payment or denial within contract agreement or guidelines/protocol, using knowledge of medical claim/bill payment processing and medical regulations, verifies and updates relevant data into computerized systems and calculates manually any adjustments needed. Verifies member eligibility and/or Medicare status. Receives d...
Description **Represents 10 positions** Processes under direct supervision medical bills for payment or denial within guidelines & contract agreements, using knowledge of medical claims payment & processing, & enters relevant data into computerized systems or calculates manually, verifies member eligibility & proper signatures. Responds to member & vendor inquiries in a courteous & timely manner...
DaVita, Inc. Denver, CO
Description Join one of DaVita's most exciting strategic startups, VillageHealth! VillageHealth provides integrated care to our Kidney Disease patients and we are looking to build out our analytical capabilities. An ideal candidate for our Healthcare Economics Analyst position would be an individual who has technical expertise and is looking for an analytical challenge. The role is not confined t...
Xerox Corporation Denver, CO
Description Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing se...
Main Responsibilities include but are not limited to: Follow up on claims from submission through final resolution. Prepare/submit medical claims electronically (when applicable by paper) to governmental, private pay, and commercial insurance carriers. Identify and resolve any claim delay issues that impact collections. Resolve account issues and credit balances. Follow up on payment errors, low ...
Claims Representative - Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick ...
This Bodily Injury claims adjuster roles will be staffed out of our Denver, CO office and support our Western Claim Zone (WCZ). The ideal candidate will have 1+ years liability claims adjusting experience (injury adjusting a plus). JOB SUMMARY: Investigates and effectively resolves bodily injury personal lines liability claims via telephone, internet or email. Promotes and provides "On Your Side"...
Robert Half Denver, CO
Description We are sourcing for Medical Claims Customer service professional for our client in the Denver with the following experience: Speaking to providers and patients regarding their claims status and benefit coverage. Check for claim coverage and validity. Review and assess claims submitted by patients to ensure that they were indeed covered for a medical procedure by the said insurance ...
Department of Veteran Affairs Denver, CO, 80208
Voucher Examiner Denver, CO Duties: Chief Business Office Purchased Care (CBOPC) is responsible for a broad range of activities to support the delivery of health care benefits for Veterans and their Dependents with health care services external to VA facilities. In addition, this business line plans, manages and supports Chief Business Office (CBO) enterprise-wide learning and workforce develop...
A Business Analyst (BA) position requires a detailed oriented professional to work on Customer Service Requests (CSR) and enhancements through multiple stages of the Systems Development Life Cycle (SDLC). The BA role is directly responsible for, but not limited to, research, requirements gathering and authoring, creating comprehensive test plans, executing tests and the documentation of test resu...
A senior-level professional, the System Development Specialist is a fully qualified individual producer who applies a broad knowledge of engineering/automation concepts, practices and procedures. Incumbents are competent to work on fairly complex assignments (and/or portions of larger, complex systems) and perform a full range of development activities. The incumbent generally works under deadline...
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Insurance Career Tools
Claims/Policy Processing Clerk
$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Colorado
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Claims/Policy Processing Clerk
Processes insurance claims and policies by performing related duties.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Administrative Writing Skills
Prepares new insurance policies by creating policyholder file; entering policy information.
Helps policyholders by answering questions and responding to requests.
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