- Sutherland Global Services (Denver, CO)
- …Are you familiar with medical terminology? Do you have experience in a claims or credentialing environment? **Join us.** We are Sutherland. We provide our clients' ... of our healthcare team. You may be involved in claims adjudication and/or provider credentialing and, depending upon program...promoted from within + Employee Discounts + EAP & Health and Wellness programs including a personal trainer dedicated… more
- Sutherland Global Services (Denver, CO)
- …individuals with strong communication skills to join us as Medical Billing/AR Specialists ! Hourly rate of $18-$21/hr, DOE. In this position, you will be ... This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via...as needed + Communicating with insurance plans and researching health plans for benefits and types of coverage +… more
- Prime Therapeutics (Denver, CO)
- …decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management of assigned book of business for ... Resolves or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account Support … more
- The Cigna Group (Denver, CO)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... * May provide guidance or expertise to less experienced specialists . **POSITION REQUIREMENTS** * **Should possess a Bachelor's Degree;...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Cardinal Health (Denver, CO)
- …oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and ... to the VP, Operations for Navista. This is a remote , work from home role with travel up to...and manage a team of managed care and credentialing specialists , vendors and consultants. Oversee practice managed care and… more
- Sevita (Denver, CO)
- …For more than 50 years, our team members have provided home and community-based health care for adults, children and their families across the United States. As a ... increase retention, engagement and morale. This role is 100% remote and can be performed from anywhere in the...Partners with legal on researching and responding to agency claims and legal actions. + Works with internal customers… more
- Norstella (Denver, CO)
- Manager, Market Research Company: MMIT Location: Remote , United States Date Posted: Sep 24, 2024 Employment Type: Full Time Job ID: R-602 **Description** **About ... to our clients, and with expert teams of pharmacists, clinicians, data specialists and market researchers who provide foresight, clarity and confidence. In 2022,… more
- Humana (Denver, CO)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more