<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>
<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>
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 an experienced HR LOA Specialist to join our team on a contract basis. In this role, you will manage and oversee employee leave of absence processes, ensuring compliance with federal, state, and company policies. This position is based in Denver, Colorado, but 100% remote. </p><p><br></p><ul><li>Manage a portfolio of leave of absences, short-term and long-term leaves, from inception to completion for employees in the US and Canada across multiple companies using established Leave of Absence processes.</li><li>Maintain ongoing knowledge of State, Federal, and an array of Company leave policies, including FMLA and ADA, short-term and long-term disability plans. You’ll be responsible for ensuring employees are aware of their responsibilities and reviewing eligibility, certification, and benefits.</li><li>Communicate directly with third parties when necessary, preserving the confidentiality of employee medical documentation and files.</li><li>Interface and collaborate comfortably with a variety of key stakeholders to maintain relationships, including employees, HR, payroll teams, managers, HR Business Partners, through various methods of communication (phone, email). </li><li>Maintain complete and accurate internal records of leave requests and documentation of best practices.</li><li>Partner with our internal payroll teams to ensure employees are paid accurately and on time. Includes building, analyzing, and communicating clear payroll information to employees and HR teams.</li><li>Partner with our internal claims management team to file and manage claim filings with states and private disability insurance providers.</li><li>Use a combination of tools to manage, communicate and update all stages of a leave.</li><li>Work with the Customer Experience department to ensure a consistent level of service, utilizing resources and adapting to process improvements to enhance employee and employer experiences. Maintain key metrics, including Service Level Agreements and Customer Satisfaction.</li><li>Actively participate in team meetings providing feedback, solutions and suggestions.</li></ul><p><br></p>
Senior Benefits Specialist We’re seeking a Senior Benefits Specialist for a contract opportunity to lead and support our global benefits and leave of absence (LOA) programs. This role is ideal for a experienced professional with 5–7 years of hands-on experience, advanced Workday proficiency, and a strong analytical mindset. You’ll be instrumental in managing complex cases, driving operational excellence, and ensuring compliance across diverse employee populations. <br> Key Responsibilities <br> Complex Benefits Administration & Escalations (35%) Act as the primary escalation point for high-impact employee cases (e.g., high-cost claims, eligibility exceptions). Interpret policies for unique scenarios and collaborate with carriers/brokers to resolve issues. Ensure accurate processing of complex enrollments, life events, and terminations in HRIS and benefits platforms. Open Enrollment (OE) Leadership (20%) Lead OE configuration, testing, and defect tracking in HRIS/benefits systems. Coordinate cross-functional efforts with Payroll, HRIS, IT, and Communications. Manage final reconciliations and ensure accurate payroll deductions post-enrollment. Data Integrity, Audits & Reporting (15%) Design and execute recurring audits (e.g., eligibility, deductions, EDI timing). Investigate discrepancies and implement preventive controls. Build advanced reports and dashboards to deliver actionable insights to leadership. Leave of Absence (LOA) Case Management (10%) Oversee complex LOA scenarios in partnership with vendors. Ensure accurate benefits and payroll handling throughout leave stages. Facilitate ADA interactive processes with HRBPs and managers. Invoice Reconciliation & Payroll Alignment (5%) Resolve variances and retros; align carrier invoices with HRIS and payroll cycles. Collaborate with Finance on monthly close and documentation. Employee Communications & Training (5%) Develop targeted communications, guides, and FAQs for employees and managers. Deliver training sessions and support benefits education initiatives. Vendor Management & Issue Resolution (5%) Monitor vendor SLAs and service quality; lead resolution efforts for systemic issues. Escalate trends and recommendations to Benefits Manager and broker. Process Documentation & Continuous Improvement (5%) Maintain and enhance SOPs and process maps. Mentor junior team members and promote best practices.
<p>Robert Half is currently seeking a skilled <strong>Medical Biller</strong> with <strong>3+ years of experience</strong> for a reputable healthcare organization. This is an excellent opportunity for a detail-oriented billing professional to join a collaborative team and contribute to the financial health of a mission-driven organization.</p>
We are looking for a detail-oriented Billing Clerk to join our team in Denver, Colorado. In this role, you will oversee billing processes, ensuring accuracy and compliance with financial regulations and grant requirements. This position is ideal for someone who is highly organized, proactive, and skilled in nonprofit accounting practices.<br><br>Responsibilities:<br>• Prepare, review, and process accurate billing documents for federal, state, and local agencies.<br>• Monitor program budgets, tracking expenditures and income to ensure proper fund allocation.<br>• Analyze financial data to verify accuracy and compliance with regulations.<br>• Collaborate with program staff to meet deadlines and adhere to local, state, and federal requirements.<br>• Provide support during audits by answering inquiries and preparing necessary documentation.<br>• Interpret financial terms of grants and contracts, offering guidance to program personnel.<br>• Generate detailed reports on grant and contract statuses to ensure adherence to requirements.<br>• Act as a liaison between internal teams and external grantors or contractors.<br>• Uphold organizational policies and procedures while ensuring compliance with financial agreements.<br>• Promote and support the organization's mission, values, and ethical standards.
We are looking for a detail-oriented Billing Clerk to join our team in Arvada, Colorado. In this contract role, you will play a key part in managing billing processes within a fast-paced manufacturing environment. This position offers an excellent opportunity to utilize your organizational skills and billing expertise to ensure accurate and timely financial operations.<br><br>Responsibilities:<br>• Prepare and issue invoices to customers in a timely and accurate manner.<br>• Monitor and reconcile billing statements to ensure all discrepancies are resolved.<br>• Maintain and update customer accounts within the billing system.<br>• Collaborate with internal teams to verify billing details and ensure compliance with company policies.<br>• Process payments and follow up on outstanding balances to support cash flow management.<br>• Generate regular billing reports for internal review and audits.<br>• Address customer inquiries related to invoices and account statements professionally.<br>• Assist in streamlining billing processes and identifying areas for improvement.<br>• Ensure compliance with financial regulations and company standards.<br>• Utilize computerized billing systems and software, such as SAP, to manage billing operations efficiently.
We are looking for a detail-oriented Collections & Billing Analyst to join our team in Centennial, Colorado. In this long-term contract position, you will play a critical role in managing billing and collections processes, ensuring accuracy in financial transactions, and maintaining strong relationships with clients. This is an excellent opportunity for an individual with expertise in medical billing, claims, and accounting systems to contribute to a dynamic and fast-paced environment.<br><br>Responsibilities:<br>• Oversee billing and collections processes to ensure timely and accurate financial transactions.<br>• Manage accounts receivable, including monitoring outstanding balances and following up on overdue accounts.<br>• Utilize accounting software systems, such as Sage Intacct, to generate invoices and reconcile accounts.<br>• Prepare and analyze aging reports to identify overdue accounts and implement appropriate collection strategies.<br>• Collaborate with clients to address billing inquiries and resolve payment discrepancies.<br>• Ensure compliance with company policies and industry regulations in all billing and collection activities.<br>• Work closely with internal teams to improve billing accuracy and streamline processes.<br>• Maintain detailed records of all billing and collection activities for auditing and reporting purposes.<br>• Provide insights and recommendations for improving financial workflows and reducing outstanding receivables.
