- Cengage Group (Denver, CO)
- …please see https://www.cengagegroup.com/about/inclusion-and-diversity/ . The **Program & Curriculum Manager, Medical Billing and Coding** will help to craft ... and Credo. **Skills you will need here:** Required + Associate 's degree + At least one of the following...of certificate upon request) + 3 years experience in Medical Billing & Coding role + 1… more
- R1 RCM (Denver, CO)
- …MS- DRG and APR-DRG methodologies is required. In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is required. + Expert ... employees through effective communication Must be a self-starter. Responsibilities + Audits medical records as defined in the coding quality review plan. + Review… more
- NASCO (Denver, CO)
- …implementation of product capabilities related to data management and membership or billing processing subsystems. This role aids Plan analytical staff in research, ... Engineer II provides support for the MembersEdge enrollment and/or billing applications system and assists in defining the development...At NASCO, we trust our workforce to be fully remote , **_working from their home_** . This benefit offers… more
- Humana (Denver, CO)
- …medication access for HC & LTC hospice patients and reconcile historic billing issues. **Location: Remote US** **Shift: Monday-Friday 2:30pm-11pm EST. ... Service team with claims research/resolution *Assist with new hires training ** Billing :** . Assist pharmacies with claims adjudication by adjusting/correcting autho… more
- NASCO (Denver, CO)
- …the payer space, particularly in the areas of benefits, membership, and billing . **Responsibilities** + Identifies and targets prospective clients in the payer ... enhance payer core operations, benefits administration, membership management, and billing processes + Develops 3x pipeline as compared to...At NASCO, we trust our workforce to be fully remote , **_working from their home_** . This benefit offers… more
- Intermountain Health (Broomfield, CO)
- …timely review of authorization requests and/or review of denials to ensure medical necessity, payer policies, appeals and reconsideration needs. Promotes the quality ... reviews and submission of complex authorization requests using appropriate criteria, medical policy review and department expectations + Collaborate with various… more
- NASCO (Denver, CO)
- …+ 5 years business experience in MetaVance or MembersEdge Membership or Billing functionality + 5 years of experience meeting with customers to determine ... IT **Benefits Overview** At NASCO, we trust our workforce to be fully remote , **_working from their home_** . This benefit offers significant, personalized outcomes… more
- Elevance Health (Denver, CO)
- …II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of our ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more
- Fujifilm (Denver, CO)
- …paths of customer business integration management. **Required Skills/Education** Education + Associate 's degree in a service related and/or technical discipline. + ... teams. + Basic knowledge of finance and accounting and billing . + Understand and embrace importance of communication and...to $125,000 depending on experience + Bonus eligible + Medical , Dental, Vision + Life Insurance + 401k +… more