Medical Claims Jobs in Colorado

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797 Colorado Medical Claims jobs found on Monster.

Jobs 1 to 20 of 797
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...
Qualifications - Background in healthcare claims processing/coding/adjudication - Experience analyzing provider and benefit contracts within insurance claims systems - Proficiency in medical terminology (ICD9/CPT4/HCPCS) - Strong analytical, research and documentation skills required - Must pass a drug/background check...
Apex Systems is working with multiple healthcare clients in the Denver area who are in need of Claims Configuration Analysts. Candidates need to be familiar with Claim Data, Claim Codes, Claims Processing (EPIC, Facets, Xcelys, etc). Need deep experience in Claims processing and then have moved into a claims auditing oriented role; auditing to make sure the claim was per contract terms. If you hav...
Exciting opportunity as a Senior Workers' Compensation Claims Specialist in Denver with great potential for growth. We are expanding our workers’ compensation claims department due to the many new clients selecting CorVel for our unique and results-oriented solution. If you can manage complex claims with specific customer service requirements, you will want to be part of the CorVel Team. Essentia...
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Do you enjoy working in a team environment and...
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Do you enjoy working in a team environment and...
Kaiser Permanente Denver, CO
Description Internal Bidding Period: November 18, 2014 - November 20, 2014 **Represents 2 positions** Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. P...
*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 v...
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Casualty Claims Specialist, you will help people resolve problems and live safer more secure l...
Claims Associate - 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 is th...
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...
**Represents 3 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 understand member/pati...
**Represents 7 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 ...
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...
Internal Bidding Period: November 18, 2014 - November 20, 2014 Supervises, coordinates and evaluates the activities of personnel engaged in processing claims and referrals. Ensures claims are accurately adjudicated and approved in accordance with departmental policies for the Rocky Mountain Region and local markets. Essential Functions: • Supervises and coordinates the activities of personnel i...
Kaiser Permanente Aurora, CO
Description **Represents 7 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 da...
Kaiser Permanente Aurora, CO
Description **Represents 3 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 understan...
Kaiser Permanente Aurora, CO
Description Internal Bidding Period: November 18, 2014 - November 20, 2014 Supervises, coordinates and evaluates the activities of personnel engaged in processing claims and referrals. Ensures claims are accurately adjudicated and approved in accordance with departmental policies for the Rocky Mountain Region and local markets. Essential Functions: • Supervises and coordinates the activities o...
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/Medicare risk, coordination of benefit bills, TPAs. E...
University of Colorado Aurora, CO, 80041
Proficient use of two electronic health record systems, an on-line claims submission and processing system, and an accounting software system, examples include, but are not limited to: • Management of Client Records (including payer changes and address updates, financial/eligibility documentation) • Research of all Clinical Activities • Eligibility Verification (commercial insurance, Medicaid, ...

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Insurance Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Colorado
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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