Top 140 Claims specialist Jobs in Denver, Co

Revenue Cycle Specialist II- MUST RESIDE IN COLORADO
ROCKY MOUNTAIN HUMAN SERVICES —Denver, CO
- $19.29 - $20.50 an hour
- Full-time
- Microsoft Excel
- Writing skills
- HIPAA
- 403(b) matching
- Mileage reimbursement
Quick Apply
Claims Specialist
Project Resources Group —Denver, CO
- $20 - $24 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Medical Claims Denial & Appeals Specialist
University of Colorado Medicine —Aurora, CO
- $29 - $35 an hour
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
Claims Service Specialist
Marsh —Broomfield, CO
- $62,400 - $132,900 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Organizational skills
- Health insurance
- 401(k)
12d
Claims Specialist - Professional Liability
Philadelphia Insurance Companies —Westminster, CO
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Tuition reimbursement
EPIC Professional Billing Claims Analyst
CommonSpirit Health —Englewood, CO
- $43.20 - $71.28 an hour
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
Claims Specialist - Professional Liability
Philadelphia Insurance Companies (PHLY) —Westminster, CO
- $95,000 - $105,000 a year
- Online Application
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Health insurance
- Tuition reimbursement
Provider Relations Specialist
Mountain Region Support —Centennial, CO
- $28.10 - $44.99 an hour
- Full-time
- Sales
- Mid-level
- 3 years
Senior Claims Learning & Development Specialist
Pie Insurance —Denver, CO
- $100,000 - $125,000 a year
- 5 years
- Master's degree
- High school diploma or GED
- Health insurance
- Paid time off
Quick Apply
Medical Billing & Follow-Up Specialist
National Jewish Health —Glendale, CO
- $22.76 - $29.10 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- Wellness program
- Health savings account
Government Program Operations Specialist
Judi Health —Denver, CO
- $87,000 - $109,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
Sr. Claims Specialist - Commercial Auto BI
Tokio Marine North America (TMNA) —Lone Tree, CO
- $102,150 - $120,177 a year
- Online Application
- Hybrid work
- Customer service
- 11+ years
- High school diploma or GED
- Health insurance
- Tuition reimbursement
Margin Specialist / Remote
Amerita —Englewood, CO
- $55,000 - $60,000 a year
- Full-time
- Remote
- 7 years
- Mid-level
- Analysis skills
- Disability insurance
- Dental insurance
4d
Sr. Claims Specialist - Commercial Auto BI
Philadelphia Insurance Companies (PHLY) —Lone Tree, CO
- $102,150 - $120,177 a year
- Online Application
- Hybrid work
- Customer service
- 11+ years
- Office
- Health insurance
- Tuition reimbursement
Intake Specialist
Baker Law Group, LLC —Englewood, CO
- $24.00 - $26.50 an hour
- Full-time
- Remote
- No experience needed
- Computer skills
- Communication skills
- Health insurance
- Dental insurance
3d
Health Information Management Specialist I
Breg, Inc. —Denver, CO
- $19 - $24 an hour
- Anatomy knowledge
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
5d
Claim Specialist - Property Field Inspection
State Farm —Lakewood, CO
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
11d
Leave Specialist
Canvas Credit Union —Lone Tree, CO
- $60,968.22 - $76,222.56 a year
- Hybrid work
- Mid-level
- Office
- Microsoft Office
- Health savings account
- Paid holidays
Quick Apply
IT Specialist (APPSW) - .NET - DHA
US Social Security Administration —Denver, CO
- $90,925 - $139,684 a year
- Online Application
- Background check
- Azure
- Pass drug screening
- Flextime
Worker's Compensation Specialist - Englewood, CO
MorningStar Senior Management LLC —Englewood, CO
- $70,000 a year
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Dental insurance
Quick Apply
3d

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claims specialist jobs near denver, co

Revenue Cycle Specialist II- MUST RESIDE IN COLORADO

ROCKY MOUNTAIN HUMAN SERVICES -
Denver, CO

Quick Apply

Job Details

Full-time
$19.29 - $20.50 an hour

Benefits

403(b) matching
Mileage reimbursement
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
403(b)

Qualifications

Customer communication
Microsoft Excel
Medicare
Finance
Medicaid health insurance
Medicaid regulations
Medicaid
Productivity software

Full Job Description

Why work at Rocky Mountain Human Services?

You will have the opportunity to contribute to an organization that is dedicated to embracing the power of community to support individuals and families in creating their future.

RMHS provides great benefits such as:

Employer paid medical options, dental, and vision benefits
Generous paid time off such as vacation, sick, personal, and holidays
Life and disability insurance
Tuition reimbursement (full-time employees only)
Mileage reimbursement
403(B) with company match
Flex Spending Account for Health and Dependent Care Costs
Employee assistance program

Position Purpose

The Billing and Receivable Specialist works with different programs within RMHS and revenue cycle department in order to consistently submit claims to insurance payers and to ensure that they are paid as per contract terms. This position is also responsible for communication with internal and external customers and health service providers.

Essential Duties

Performs insurance verifications, prior authorizations and re-authorizations as required by funding source
Responsible for submitting claims and ensuring follow up on outstanding claims
Ensures information obtained is complete and accurate to request appropriate authorizations
Collaborates with internal departments and external providers on utilization management of authorizations
Acquires and shares knowledge of authorization requirements for all funding sources for behavioral health in the State of Colorado (commercial and waiver)
Ensures all services have authorizations properly documented in all software applications necessary and communicated to all programs within RMHS
Ensures up-to-date documentation in billing software
Ensures compliance with all federal, state, local and internal policies and procedures
Performs other duties as assigned with a comprehensive understanding of all functions on the entire revenue cycle

Knowledge, Skills and Abilities

Knowledge of healthcare billing and reimbursement strategies.
Ability to effectively communicate both orally and in writing.
Demonstrates the ability to plan and organize work, coordinate with others, use time productively and establish appropriate priorities.
Provide excellent customer service to both internal and external customers.
Attention to detail is a must for researching and interpretation.
Ability to support HIPAA privacy rules and maintain strict confidentiality.
Ability to function as a team player.
Ability to adapt to change and be flexible.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Actively communicate with customers and stakeholders.
Works with customers, staff, stakeholders.
Ability to meet/work with staff, stakeholders in a variety of settings.
Attends staff, team and department meetings.
Attends in-services, staffing and other meetings with supervisor’s approval. May be appointed to committees.
Develops and maintains records, plans and reports.
Lift and/or carry 20 lbs.
Sit, stand, and walk for reasonable periods of time.
Maintains prompt and regular attendance.
Performs related work as assigned.

Qualifications

1-2 years of relevant experience in finance/healthcare, medical billing & reimbursement.
Experience with State and Federal (Medicare, Medicaid) and private insurance billing systems.
Proficiency in Microsoft products including Word and Excel.

Preferred Qualifications

Previous experience working with healthcare insurance, billing (therapy services, behavioral health, Medicaid HCBS Waiver, Early Intervention), medical coding, denial management, and insurance reimbursement.
Experience with medical billing software.
Excellent communication skills (written, verbal).
Excellent customer service skills.

Rocky Mountain Human Services is an Equal Opportunity Employer and is committed to racial, ethnic and cultural diversity and the goals of the Americans with Disabilities Act.

Quick Apply

Refine Your Search

claims specialist jobs in denver, co

Revenue Cycle Specialist II- MUST RESIDE IN COLORADO

Claims Specialist

Medical Claims Denial & Appeals Specialist

Claims Service Specialist

Claims Specialist - Professional Liability

EPIC Professional Billing Claims Analyst

Claims Specialist - Professional Liability

Provider Relations Specialist

Senior Claims Learning & Development Specialist

Medical Billing & Follow-Up Specialist

Government Program Operations Specialist

Sr. Claims Specialist - Commercial Auto BI

Margin Specialist / Remote

Sr. Claims Specialist - Commercial Auto BI

Intake Specialist

Health Information Management Specialist I

Claim Specialist - Property Field Inspection

Leave Specialist

IT Specialist (APPSW) - .NET - DHA

Worker's Compensation Specialist - Englewood, CO

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