Medical Biller Roth Staffing CompaniesMedical BillerLoveland, Colorado$20–$22 / hourA healthcare services organization specializing in professional and institutional medical billing is seeking an experienced Medical Biller to support charge entry, coding, and billing operations. Support billing activities across medical specialties including radiology, pathology, dermatology, family practice, wound care, and urology.
Biller, Hospital PFS, Full-Time Colorado West Healthcare SystemBiller, Hospital PFS, Full-TimeGrand Junction, CO$19–$21.85 / hourPart timeEnsures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility. Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal.
Self Pay Biller, Hospital PFS, PRN/Pool Colorado West Healthcare SystemSelf Pay Biller, Hospital PFS, PRN/PoolGrand Junction, CO$19–$21.85 / hourPart timeEnsures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility. Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal.
Self Pay Biller, Hospital PFS, PRN/Pool Community HospitalSelf Pay Biller, Hospital PFS, PRN/PoolGrand Junction, ColoradoEnsures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility. Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal.
Biller, Hospital PFS, Full-Time Community HospitalBiller, Hospital PFS, Full-TimeGrand Junction, ColoradoEnsures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility. Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal.
NewSenior Claims Representative Pinnacol AssuranceSenior Claims RepresentativeDenver, CO$80,900–$85,600 / yearProactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management, and litigation management, as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets. Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
Claims Representative II Pinnacol AssuranceClaims Representative IIDenver, CO$66,500–$71,800 / yearProactively manage open claims as required by Company best practices, including expedient and cost effective medical case management, disability management, and litigation management, as well as identification, investigation, management and resolution of potential adverse claim development, including prior injuries, comorbid and pre-existing medical conditions, migrating body parts, worsening medical conditions and delayed recovery, change of physician requests, multiple claims, multiple jobs, subrogation, penalties and offsets. What you can expect: Contact stakeholders as required by Company best practices on incoming claims to promptly investigate circumstances of accident and injury, investigate and determine compensability, and identify and address red flag issues, including late reporting, pre-existing medical issues, designated medical provider process and referral issues, medical treatment issues, legal issues, and potential subrogation and penalty issues.
Sr. Manager Field Reimbursement - West Integra LifeSciencesSr. Manager Field Reimbursement - WestDenver, CO$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
Patient Advocate - Billing and Benefits Amaze HealthPatient Advocate - Billing and BenefitsDenver, COActing as a neutral third party, you will collaborate with healthcare facilities and insurance companies to advocate for corrections, ensuring patients receive accurate resolutions without us directly handling billing or claims processing. In this unique role, you will review Explanation of Benefits (EOBs), itemized receipts, and related documents to identify potential errors such as upcoding, balance billing, or incorrect application of benefits.