HVAC Technical Specialist Hajoca CorporationHVAC Technical SpecialistDenver, CORemote$65,000–$100,000 / yearUse advanced HVAC technical knowledge to investigate, analyze, and diagnose field technical issues and work with HVAC manufacturers to resolve all technical issues both over the phone and onsite. Maintain a current working knowledge of all HVAC technical issues by reviewing all technical bulletins and attending industry-related technical training functions and professional events.
NewLead Coder OnPoint Medical GroupLead CoderHighlands Ranch, CO$31–$34 / hourOnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible. Coding Working directly healthcare providers, and staff to ensure the medical documentation supports the CPT and Diagnosis codes that are being billed out to payers following payer specific guidelines.
Claims Specialist Project Resources GroupClaims SpecialistDenver, ColoradoResolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately.
Claims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityWestminster, CO$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BILone Tree, CO$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyLone Tree, CO$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistBroomfield, CO$62,000–$83,200 / yearAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
Claims Specialist Project Resources Group IncClaims SpecialistDenver, CO$20–$24 / hourAs a leading provider of construction management, outside plant damage assessment & recovery, business outsourcing and consulting services, PRG offers services within the cable, telephony, construction and utility industries, including: Back Office Processing. Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters.
Senior Claims Specialist, Environmental Ascot Group LtdSenior Claims Specialist, EnvironmentalDENVER, CO$130,000–$160,000 / yearThe Senior Claims Specialist will have direct experience in handling first- and third-party environmental liability claims, professional liability claims arising out of the construction industry, as well as general liability and excess claims arising from contractors, oil and gas industry, auto, trucking, and premises-related general liability claims. Company Benefits: The Company provides a competitive benefits package that includes the following (eligibility requirements apply): Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Life Insurance, AD&D, Work/Life Resources (including Employee Assistance Program), and more.
Senior Casualty Claims Specialist - Pacific or Mountain Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Pacific or Mountain Time ZoneDenver, CORemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistBroomfield, ColoradoAdditional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program; student loan assistance program, a gym membership and fitness class reimbursement program and a company car. The position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistDenver, ColoradoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Blended Claims Specialist, Construction CNA Financial Corp.Blended Claims Specialist, ConstructionLittleton, CO$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
General Liability Claims Specialist CNA Financial Corp.General Liability Claims SpecialistLittleton, CO$54,000–$103,000 / yearJOB DESCRIPTION: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Claims Service Specialist Marsh & McLennan Companies IncClaims Service SpecialistBroomfield, CO$62,400–$132,900 / yearFounded in 1998 and based in Broomfield, Colorado, ICAT is a subsidiary of Victor and a leading provider of property insurance protection to homeowners and businesses located in hurricane- and earthquake-exposed regions of the United States. The successful candidate will lead daily operations from a support and administrative level, coordinating complex logistics and task assignments for client relationship projects while ensuring effective communication and problem resolution.
NewClaims Service Specialist Marsh McLennanClaims Service SpecialistBroomfield, Colorado$62,400–$132,900 / yearOffice-based teams will identify at least one “anchor day” per week on which their full team will be together in person.#ICATThe applicable base salary range for this role is $62,400 to $132,900.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Founded in 1998 and based in Broomfield, Colorado, ICAT is a subsidiary of Victor and a leading provider of property insurance protection to homeowners and businesses located in hurricane- and earthquake-exposed regions of the United States.
Workers' Compensation Claim Specialist CCMSIWorkers' Compensation Claim SpecialistGreenwood Village, Colorado$70,000–$95,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Client Relations Claims Manager (On-Site) Frontline Road SafetyClient Relations Claims Manager (On-Site)Denver, ColoradoPartnering with our operating companies and their leadership, safety, and HR teams, the Manager triages the needs of the businesses, our employees, and Frontline Road Safety Group as a whole—driving claims to resolution as quickly and as accurately as possible while protecting the company’s financial interests. Minimum of 3-5 years of experience handling multiple lines of business including Auto, General Liability, and Workers’ Compensation, preferably in a leadership role.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionLittleton, CO$59,059.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 80110 80120 80123 80125 80126 80127 80128 80129 80235 80236 80104 80107 80108 80109 80116 80117 80124 80130 80134 80138. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteCORemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsDenver, CO$150,800–$188,500 / yearThe role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Claims Manager Project Resources Group IncClaims ManagerDenver, CO$150,000–$200,000 / yearFacilitate settlement and escalation requests from recovery team with clients and third-party business partners, and interpret data and results to clients in regularly scheduled client meetings. Collaborate regularly with other branches within the OPD department to resolve complex issues and streamline processes with the shared goal of departmental growth.
Telephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterCOAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Medical Claims Review Medical Director - Surgeon - Remote UnitedHealth Group Inc.Medical Claims Review Medical Director - Surgeon - RemoteDenver, CORemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Data Exchange Manager - Claims Operations Capital Rx LLCData Exchange Manager - Claims OperationsDenver, CO$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Civil Engineer (Highway) (Claims) U.S. Department of TransportationCivil Engineer (Highway) (Claims)Lakewood, CO$118,675–$154,280 / yearSpecified academic courses -- Successful completion of at least 60 semester hours of courses in the physical, mathematical, and engineering sciences and that included the courses specified in the basic requirements under paragraph A. The courses must be fully acceptable toward meeting the requirements of an engineering program as described in paragraph A. Related curriculum -- Successful completion of a curriculum leading to a bachelors degree in an appropriate scientific field, e.g., engineering technology, physics, chemistry, architecture, computer science, mathematics, hydrology, or geology, may be accepted in lieu of a bachelor's degree in engineering, provided the applicant has had at least 1 year of professional engineering experience acquired under professional engineering supervision and guidance. The ideal candidate should also possess a strong technical background in the field of highway engineering and construction, including a broad understanding of roadway design, geotechnical engineering, structural engineering, hydraulics, material quality requirements and heavy highway construction practices for the design and construction of highways and bridges.
Claims and Risk Analyst Esler Companies LLCClaims and Risk AnalystDenver, COHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) - or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
Claims and Risk Analyst Renewal by Andersen | Esler CompaniesClaims and Risk AnalystDenver, ColoradoFull timeHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) – or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistDenver, CO$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Insurance and Billing Specialist University of Colorado BoulderMedical Insurance and Billing SpecialistBoulder, COThe Wardenburg Medical Clinic provides a wide range of health care services for students including: primary care for illnesses and injuries, as well as chronic conditions, physicals, sexually transmitted infection testing and treatment, allergy shots, vaccinations, travel health care, and concussion care. The role actively promotes and sells the campus student health insurance plans to students and their families, engaging with students during orientations, campus events, and through direct communication to encourage enrollment in the campus student health insurance plans.
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteCORemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistDenver, CO$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Billing Specialist Boulder Valley Health CenterBilling SpecialistBoulder, ColoradoThe Revenue Cycle Specialist plays a key role in supporting the financial health of the organization while providing clear and compassionate communication to patients regarding billing and payment options Duties and Responsibilities Work collaboratively with internal teams to identify and implement process improvements within the revenue cycle. Founded in 1973, Boulder Valley Health Center (BVHC) is a small outpatient community clinic that has been a leader in providing reproductive and sexual health services, abortion, and education to all people, including those who face barriers to accessing high-quality and equitable healthcare.
Revenue Cycle Specialist usebridge.comRevenue Cycle SpecialistBoulder, ColoradoSystem proficiency: Maintain fluency in the tools that power revenue cycle management, including billing systems, EMRs, internal portals, team communication tools, clearinghouses, credit card systems, bank transactions, and patient communication platforms. You'll report to the Manager of Revenue Cycle and own a mix of hands-on billing work and direct partner support, helping our Partners' patients navigate insurance eligibility and claims questions with the same clarity and confidence Bridge brings to the rest of the platform.
["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"] Signature Performance["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"]DenverRemote$23–$24 / hourIn the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.
Security Branch Support Specialist Allied UniversalSecurity Branch Support SpecialistAurora, COAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
Service Support Specialist Service Corporation InternationalService Support SpecialistThornton, COThe Specialist works closely with funeral directors and location managers to ensure all arrangements are initiated and completed. This role provides exemplary customer service in all areas of helping client families following the loss of a loved one.
NewPharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistDenver, ColoradoWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
Revenue Specialist I (ROPS) DaVita IncRevenue Specialist I (ROPS)Denver, CO$19.50–$23 / hourWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. This position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances.
Revenue Specialist I (Rops) DaVita Inc.Revenue Specialist I (Rops)Denver, CO$19.50–$23 / hourWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. This position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances.
Health Information Management Specialist I Breg IncHealth Information Management Specialist IDenver, CO$19–$24 / hourPerform administrative tasks and ensures efficient office operations; includes receives paper claim documentation, scans of claims, tends to mail and overnight shipping, faxes, copies, scans, files, purchases office supplies, and creates general correspondence. Proactively work to secure incomplete data for clean submission of claims utilizing EMR access, technology support software, requests for information, and traditional medical record requests.
Pharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistDenver, ColoradoSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Service Support Specialist SCI Shared Resources, LLCService Support SpecialistWheat Ridge, CO$22–$24 / hourA sense of urgency, empathy, attention to detail and strong communication skills are required to succeed and fulfill customer needs. This role provides exemplary customer service in all areas of helping client families following the loss of a loved one.
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)CO$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
Health Information Management Specialist I Breg, Inc. HR OnlyHealth Information Management Specialist IDenver, CO$19–$24 / hourPart timePerform administrative tasks and ensures efficient office operations; includes receives paper claim documentation, scans of claims, tends to mail and overnight shipping, faxes, copies, scans, files, purchases office supplies, and creates general correspondence. Proactively work to secure incomplete data for clean submission of claims utilizing EMR access, technology support software, requests for information, and traditional medical record requests.
Revenue Specialist III, ROPS DaVita IncRevenue Specialist III, ROPSDenver, CO$20.50–$28 / hourIn this role, you will analyze high-volume payor trends, identify upstream issues causing credit inflow (such as rate discrepancies, contract misalignments, or rounding errors), and partner with cross-functional teams (Manestream Collections, Team Spotlight, Team Lighthouse, Registration, Government Payor Alliance (GPA), Payor Partnerships, and others) to "turn off the faucet" of incoming credits. Unlike traditional ROPS roles that focus on working claims one-by-one, the Bulk Payor Analytics (BPA) team is dedicated to early and ongoing identification of overpayment trends, performing root cause analysis, comprising and escalating issues to the payor or internal ROPS support teams and resolving payment misalignments in bulk.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderAurora, CO$55,600–$99,300 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Specialist - LOA & Workers Comp Programs Frontier Airlines Holdings, Inc.Specialist - LOA & Workers Comp ProgramsDenver, CO$46,715–$62,006 / yearOur successful business model allows travelers to take advantage of our fast-growing route network while our bundled and unbundled pricing options allow our customers to personalize their travel experience and only pay for the services they need - saving them money along the way. Frontier's highly fuel-efficient, all-Airbus fleet is among the youngest and most modern of any carrier within the U.S. That, combined with the airline's many weight-saving initiatives and focus on operational efficiencies, makes Frontier America's Greenest Airline.*
Pharmacy Technician - Billing Specialist Guardian Pharmacy Services ManagementPharmacy Technician - Billing SpecialistDenver, ColoradoThrough prior experience and cross training, demonstrate knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions in a timely manner and with a high degree of accuracy.
Revenue Cycle Specialist CardioOneRevenue Cycle SpecialistDenver, ColoradoRemote$20–$24 / hourFrom real estate and advanced imaging to clinical workflows and data infrastructure, CardioOne delivers a fully integrated platform designed to drive growth, efficiency, and superior patient outcomes. Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file, Work in multiple computer systems to obtain and organize information to support billing.