<p>We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the financial services industry, utilizing your skills in a diverse set of roles including processing claims, maintaining customer records, and resolving inquiries.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Manages and maintains assigned book of business. Has a good understanding of relevant compliance regulations and stays up to date on changes and new legislation. Works within the guidelines, ensures compliance.</li><li>Develop and maintain key relationships critical to the sales process and negotiate with carrier contacts to seek competitive options for clients.</li><li>Coordinates with account team to understand client’s strategy, and to define roles and responsibilities including deadlines.</li><li>Prepares requests for proposals (RFP’s) for all submissions to market. Responds to all carrier and client requests.</li><li>Responsible for ensuring timely target renewal delivery. Collaborates with insurance carriers and vendors to obtain preliminary and/or firm renewals.</li><li>Analyze current benefits, evaluating coverage, effectiveness, cost, plan utilization and trends.</li><li>Analyze all marketing and plan option responses, evaluates for accuracy and completeness, and requests clarifications and revisions, as needed. Develops plan options to best meet client’s strategy.</li><li>Presents all final results to account team. Determines content and structure of renewal presentation and identifies what to include (i.e; marketing results, utilization review, contribution strategy, benchmarking, financial reporting, etc.). Prepares renewal presentation.</li><li>Gather, review and validate all information related to assigned clients for renewal analysis and marketing purposes to include cost and contract terms</li><li>Provide analysis of benchmarking, contributions, data analytics, network disruption, as applicable</li><li>Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc.</li><li>Monitor administrative costs of benefit plans and programs. Recommend cost containment strategies, including alternative methods for administration and funding.</li><li>Work with internal team regarding negotiations with carriers</li><li>Manage outsourcing of vendors and ensure reporting and other service needs are met</li><li>Build custom financial/utilization reports as needed and update monthly or as needed. Provide written and oral summary of findings.</li><li>Stays abreast of market competitiveness, carrier products and services, rate trends as well as State and Federal laws and regulations.</li><li>Supports data audits.</li><li>Updates financial summary and benefit highlight comparisons with all final renewal negotiation results</li><li>Complies with agency management system CRM standards. Saves and documents work product.</li><li>Will work primarily with medium to large clients who are fully insured and self-funded. Will also assist with the small group book of business on an as needed basis.</li></ul>
We are offering an exciting opportunity for a Branch Administrator in the construction industry, based in Denver, Colorado. This role involves various administrative tasks, including processing payroll, maintaining accurate records, and serving as a liaison between corporate HR and on-site personnel. <br><br>Responsibilities:<br>• Assisting with the hiring process, scheduling interviews, and onboarding new hires.<br>• Managing accounts payable, accounts receivable, billing, and invoicing.<br>• Overseeing job costing, reporting, job set up, and project pre-qualifications.<br>• Coordinating with field personnel who may not be accustomed to paperwork.<br>• Processing payroll using ADP Workforce Now, Ceridian, and Dayforce.<br>• Administering benefits, including 401k - RRSP Administration, Auditing, Benefit Functions, Claim Administration, and Cobra Administration.<br>• Utilizing CRM to maintain accurate customer and project records.<br>• Exercising patience and resilience in a dynamic, fast-paced construction environment.
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
