Medical Claims Jobs in Colorado

777 jobs

This position performs standard and routine accounting activities requiring an understanding of basic accounting and business procedures. Primary Duties and Responsibilities: Using coded date to produce and submit claims to insurance companies Work directly with insurance company, health provider, and patient to get a claim processed and paid Reviewing and appealing unpaid and declined claims ...

Description Internal Bidding Period: January 20, 2015 - January 22, 2015 Demonstrates leadership skills in the management the Medical Review team. Supports organizational and departmental mission/vision with a focus on influence, empowerment, integration and cost containment and/or effectiveness. Coordinates efforts to provide support to CPMG, Finance and clinical operation units through researc...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

RESPONSIBILITIES: Kforce has a client seeking a Medical Collector / Insurance Follow - Up Representative in the Broomfield, CO area. This candidate is needed as soon as possible. Duties Include: Responsible for day-to-day tasks associated with A/R medical billing claims Identify and resolve customer and patient billing issues Review accounts regularly for insurance or patient follow up Revie...

Description **Represents 5 Temporary positions** Responsible for accurate and complete research into member accumulation status. Quality review of claim and/or pre-authorization data elements submitted on claims/bills/pre-authorization against data applied to the processing systems. Research at this level may include: emergency claim EDI billings, pre-authorizations, inter-regional, Medicare/Med...

Description **Represents 6 Temporary Positions** 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...

Description **Represents 15 Temporary 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. ...

Description Processes under direct supervision medical bills for payment or denial within guidelines and contract agreements, using knowledge of medical claims payment and processing, and enters relevant data into computerized systems or calculates manually, verifies member eligibility and proper signatures. Responds to member and vendor inquiries in a courteous and timely manner. Receives workfl...

Summary: If you are an experienced and capable insurance liability adjuster and are looking for an established company with which to develop your career, join the Esurance team! We are seeking an Insurance Claims Adjuster to investigate both first and third-party claims, specifically in cases in which there is actual vehicle/property damage. This is an office-based position in which you will hand...

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 ...

Job Summary Under direct supervision this position is responsible for: Working in a team environment providing front line administrative and general office assistance on a daily basis to both internal and external customers supporting proper claim handling practices, including: Telephone customer service, financial transactions, collecting, inputting, reviewing and updating critical claim and fina...

SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates: 8 hospitals 4 safety net clinics 1 children's mental health treatment center 190 ambulatory service centers Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on health care del...

SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates: 8 hospitals 4 safety net clinics 1 children's mental health treatment center 190 ambulatory service centers Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on health care del...

Wagner Equipment Co., the Caterpillar dealer for Colorado, New Mexico and far west Texas, is seeking applications for a Claims and Risk Management Specialist. Responsible for the professional and confidential intake, initial investigation, and reporting of all work comp, auto, and general liability claims, and the day-to-day coordination of such claims to resolution. Communicate with employees, m...

Job Summary Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims. Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full ...

Summary: Investigates and handles to conclusion moderate first and third party homeowners and renters claims as well as property damage exposures on auto losses involving coverage and liability determination. Responsibilities: •Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using best practi...

Review and process medical and hospital insurance claims for all lines of business utilizing a general knowledge of Claims practices, procedures, policies, billing, contracts and benefits. Requirements for Education and Experience Requires 2 years of prior customer service, related public contact experience, or previous experience in a medical environment preferred. Knowledge of RMHP benefits an...

SCL Health is a faith-based, nonprofit health care organization headquartered in the metro Denver area with facilities located in Colorado, Kansas and Montana. SCL Health operates: 8 hospitals 4 safety net clinics 1 children's mental health treatment center 190 ambulatory service centers Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on heal...

Responsible for the operations of one or more systems configuration units that are responsible for Analysis, Design, Build and Unit Testing of Provider Contracts and Benefits within the KPCC Platform, to ensure accurate and timely claims payment consistent with the Regional and National artifacts (e.g. contractual arrangement(s) made with the Providers, Employer Groups, etc.). Responsible for prov...

The HPSC Configuration Analyst (CA) is responsible for Analysis, Design, Build and Unit Testing of Provider Contracts and Benefits within the KPCC Platform, to ensure accurate and timely claims payment consistent with the Regional and National artifacts (e.g. contractual arrangement(s) made with the Providers, Employer Groups, etc.). The HPSC Configuration Analyst understands the types of provider...