- Merck (Denver, CO)
- …Confirming customer contracts are properly loaded to provide the appropriate contract pricing to the eligible sites of care + Communicating approved information ... responsibilities as both an Integrated Account Lead (IAL) and Payer Account Executive within the assigned geography and for...our Company product strategy + Optimizing Net Sales and Contract Performance across a portfolio of our Company products… more
- Sumitomo Pharma (Denver, CO)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- Bausch + Lomb (Boulder, CO)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... therapies. + Develop Key Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Denver, CO)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Option Care Health (Denver, CO)
- …**Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee ... schedule for all contracts for which invoices are submitted. Correctly determines quantities...48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for… more
- Intermountain Health (Lafayette, CO)
- …automated screening at time of service. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Identify copay and deductibles. Communicate ... applicable. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Collect patient payments and provide accurate receipt.… more
- BrightSpring Health Services (Longmont, CO)
- …completed prior to invoicing, and statements are finalized, in accordance with contract and PharMerica's Client Billing Services Policies and Procedures. Join our ... ensure tasks are completed within timelines set by the department manager through maintenance and accountability.* Supports and develops staff through one-on-ones,… more
- Intermountain Health (Denver, CO)
- …the insurance company to be unpayable. Scope This is a regional role reporting to the Manager of Appeals. This role is fully remote and works a schedule of Monday - ... Strategizes which appeal strategy should best be used (medical necessity, payer language, state/federal laws). 3. Maintains an understanding of expected… more
- Intermountain Health (Lafayette, CO)
- …any reasons for cancellation. 9. Escalates non-routine issues to the practice manager or physician. 10. Greets patients. Answers phones, takes messages, returns ... insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine… more
- Intermountain Health (Superior, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Brighton, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Wheat Ridge, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more