Top 104 Enrollment specialist Jobs in Denver, Co

Credentialing and Denials Specialist
Critical Care Pulmonary and Sleep Associates —Lakewood, CO
- $26 - $29 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Quick Apply
6d
Enrollment Specialist 2 (MUST LIVE IN THE STATE OF COLORADO)
Denver Health —Denver, CO
- $23.68 - $30.70 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Medicaid Enrollment Specialist
Colorado Coalition for the Homeless —Denver, CO
- $21.67 - $25.50 an hour
- Full-time
- Research
- Mid-level
- High school diploma or GED
- 403(b) matching
- AD&D insurance
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7d
Enrollment Specialist - 10959
Colorado Coalition for the Homeless —Denver, CO
- $21.67 - $25.50 an hour
- Full-time
- Research
- Driver's License
- Children
- Free parking
- 403(b) matching
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5d
Provider Enrollment Specialist I
Denver Health —Denver, CO
- $24.33 - $34.06 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Pass drug screening
- Paid parental leave
- Paid holidays
Regional Enrollment Support Specialist
Connect for Health Colorado —Denver, CO
- $55,620 - $70,040 a year
- Weekends as needed
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Quick Apply
6d
Provider Enrollment Specialist II
Denver Health —Denver, CO
- $24.33 - $34.06 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Pass drug screening
- Paid parental leave
- Paid holidays
HSPD-12: Government Badging & Credentialing Specialist (Denver, CO*)
Citizant Inc —Denver, CO
- $24.34 an hour
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Credentialing Specialist
One Federal Solution —Denver, CO
- Customer service
- Mid-level
- Administrative experience
Quick Apply
Enrollment Specialist 1 (Bi-Lingual in Spanish Preferred)
Denver Health —Denver, CO
- $21.18 - $29.65 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
Medical Credentialing Specialist
Confidential —Denver, CO
- $23 - $26 an hour
- Part-time
- Hybrid work
- Medical office experience
- Mid-level
- Databases
Quick Apply
529 Shareholder Services Specialist II
Ultimus Fund Solutions —Denver, CO
- Full-time
- Mid-level
- 3 years
- Finance
- Retirement plan
Quick Apply
Benefits Specialist
ROCKY MOUNTAIN HUMAN SERVICES —Denver, CO
- $55,000 - $60,000 a year
- Full-time
- Computer literacy
- Mid-level
- Office
- 403(b) matching
- Mileage reimbursement
Quick Apply
Customer Engagement / Sales Specialist
Summit Retail Solutions —Aurora, CO
- $60,000 - $90,000 a year
- Full-time
- Background check
- Up to 50% travel
- Driver's License
- Paid training
- Health insurance
Quick Apply
7d
HR & Payroll Specialist
Lakeshore Talent LLC —Lone Tree, CO
- $75,000 - $80,000 a year
- Mid-level
- Office
- Travel
Quick Apply
Pharmacy Technician - Billing Specialist
Guardian Pharmacy of Denver —Englewood, CO
- $23 - $26 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
7d
B2B Sales Professional
Northern Stars Financial —Centennial, CO
- $80,000 - $130,000 a year
- Full-time
- Entry level
Quick Apply
11d
Wire Transfer Specialist
TEKsystems —Denver, CO
- $19 - $22 an hour
- Temporary
- Microsoft Outlook
- Research
- Mid-level
- Commuter assistance
- Health savings account
Quick Apply
6d
Internal Communications & Change Specialist
Rentokil North America —Denver, CO
- $70,700 - $92,000 a year
- Full-time
- Marketing
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
7d
Health Insurance Specialist - Float
Oak Street Health —Commerce City, CO
- $21.10 - $44.99 an hour
- Full-time
- Sales
- Clinic
- Bachelor's degree
- Health insurance
- Dental insurance
5d

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Credentialing and Denials Specialist

Critical Care Pulmonary and Sleep Associates -
Lakewood, CO

Quick Apply

Job Details

Full-time
$26 - $29 an hour
6 days ago

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Word
Appeals
Microsoft Excel
Microsoft Outlook
Customer service
Provider enrollment for medical credentialing
Medical coding guidelines
Taxonomy
High school diploma or GED
Medical insurance appeals management
Data interpretation
Insurance claims appeal handling
Medical terminology

Full Job Description

Company & Position Summary:

Critical Care, Pulmonary and Sleep Associates is a multispecialty private physician practice, providing Critical Care, Pulmonary and Sleep medical services to the Denver metro area for over 40 years. Our dedicated team of Board-Certified Critical Care, Pulmonary and Sleep Physicians along with our skilled clinical and administrative staff exclusively serve nine Common Spirit and AdventHealth Hospital ICU’s and multiple outpatient clinic locations spanning Colorado’s front range. CCPSA’s organizational culture exemplifies excellence in patient centered care, unified teamwork, and a highly collaborative approach in all business and clinical operations. We are currently seeking a Credentialing and Denials Specialist to join our committed team of professionals.

The Credentialing and Denials Specialist is responsible for provider credentialing across commercial insurance payers, government programs, hospitals, and other healthcare organizations while serving as the primary resource for insurance claim denial resolution. This position ensures providers are appropriately credentialed, enrolled, appointed, and privileged to support timely reimbursement and uninterrupted patient care while researching, appealing, and resolving denied claims. The individual in this role partners with internal teams and insurance carriers to identify reimbursement trends, improve revenue cycle performance, maintain regulatory compliance, and support the organization's financial health. This role requires a commitment to the CCPSA culture of collaboration while identifying opportunities for continuous improvement and supporting the organization's shared values.

Essential Responsibilities and Tasks:

Provider Credentialing, Enrollment & Privileging

Ensure CCPSA providers are credentialed, enrolled, appointed, and privileged with commercial and government payers, hospitals, and other healthcare organizations to support uninterrupted clinical operations and timely reimbursement.
Complete provider enrollment, credentialing, recredentialing, revalidation, appointment, privileging, and ongoing maintenance activities with commercial and government payers, hospitals, and other healthcare organizations.
Coordinate provider onboarding activities related to credentialing and privileging, including hospital application requirements and other required pre-start activities, as applicable.
Maintain provider credentialing records and monitor compliance with licenses, certifications, DEA registrations, malpractice coverage, continuing education, and other credentialing requirements.
Maintain accurate provider information within credentialing systems, payer portals, hospital credentialing systems, CAQH, and other required databases.
Ensure all credentialing files meet standards set by the NCQA, TJC, CMS, hospitals, and payer-specific guidelines.
Serve as the primary point of contact for provider credentialing, enrollment, appointment, and privileging questions.

Denials Management

Review assigned denial work queues and investigate denied claims for accurate and timely resolution.
Research and appeal insurance claim denials through review of coding, medical records, payer contracts, reimbursement guidelines, and applicable documentation.
Maintain advanced knowledge of payer websites, reimbursement guidelines, and appeal processes for commercial and government payers, including Medicare, Medicaid, Medicare Advantage, Tricare, VA, and other payer plans.
Analyze denial trends and identify root causes to proactively reduce future denials.
Escalate denial issues and communicate recurring trends or payer policy changes to leadership.
Ensure appeals are submitted within payer filing deadlines.

Revenue Cycle Support

Stay current on payer policies, reimbursement regulations, and credentialing requirements.
Assist with educating team members regarding payer updates, denial trends, and process improvements.
Accurately document denial investigations, appeals, credentialing activities, and resolutions within appropriate systems.
Collaborate with providers, payers, coding, billing, and other internal teams to resolve reimbursement issues and support efficient revenue cycle operations.
Participate in quality improvement initiatives and projects that enhance revenue cycle performance.
Perform other duties as assigned by the manager.

Skills, Education and/or Work Experience Requirements:

Minimum of two (2) years of experience in provider credentialing, payer enrollment, medical billing, denial management, or revenue cycle operations. Hospital credentialing and privileging experience preferred.
Demonstrated experience researching, appealing, and resolving insurance claim denials.
Working knowledge of medical terminology, provider taxonomy, commercial and government payer guidelines, credentialing requirements, and healthcare reimbursement methodologies.
Knowledge of hospital credentialing and privileging processes preferred.
Excellent analytical, organizational, problem-solving, and critical thinking skills.
Demonstrated commitment to exceptional customer service through professional communication, responsiveness, and timely follow-up.
Ability to work independently while effectively managing multiple competing priorities and consistently meeting deadlines.
Strong written and verbal communication skills.
Proficiency in Microsoft Outlook, Word, Excel, internet research, and payer portals.
Experience with EPIC Resolute Professional Billing strongly preferred.
High School Diploma or GED required.

Compensation:

Competitive hourly compensation.
Benefits effective date-of-hire (no waiting period).
Comprehensive medical benefits. Company covers 80-85% percent of individual or family premium.
Dental and vision benefits offered at no cost to the employee. Company covers 100% of individual or family premium.
Life and AD&D benefits.
Optional additional life & disability insurance at group discounts.
PTO and holiday pay.
401k benefits with company contribution after eligibility period.
Position reports to RCM Manager.

Quick Apply

Refine Your Search

enrollment specialist jobs in denver, co

Credentialing and Denials Specialist

Enrollment Specialist 2 (MUST LIVE IN THE STATE OF COLORADO)

Medicaid Enrollment Specialist

Enrollment Specialist - 10959

Provider Enrollment Specialist I

Regional Enrollment Support Specialist

Provider Enrollment Specialist II

HSPD-12: Government Badging & Credentialing Specialist (Denver, CO*)

Credentialing Specialist

Enrollment Specialist 1 (Bi-Lingual in Spanish Preferred)

Medical Credentialing Specialist

529 Shareholder Services Specialist II

Benefits Specialist

Customer Engagement / Sales Specialist

HR & Payroll Specialist

Pharmacy Technician - Billing Specialist

B2B Sales Professional

Wire Transfer Specialist

Internal Communications & Change Specialist

Health Insurance Specialist - Float

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