Claims Coordinator

Colorado Access • Denver, CO

4d • Hybrid

About The Position

Colorado Access is a Colorado-based company dedicated to improving the health of the state by partnering with communities and empowering people through access to quality, affordable care. They serve individuals, families, and children receiving healthcare through Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). The company focuses on enhancing quality, member experience, outcomes, and cost. Colorado Access is a mission-driven organization with a vision of healthy communities transformed by accessible and affordable care, supported by strong values and a commitment to diversity, equity, and inclusion.

Requirements

• High School Diploma or equivalent required.
• Minimum of three years’ administrative experience coordinating multiple projects between several departments and companies.
• Must demonstrate ability to seek out responsibility in this job and create a recognized value-added role in the department.
• Demonstrates support for the company’s mission, vision and values.
• Excellent time management, organization and decision-making skills required.
• Excellent written and verbal communication skills.
• Must be detail oriented and highly organized with ability to manage changing priorities.
• Strong computer skills in a variety of programs including Microsoft Word, Excel, Power Point, and Access.
• May be required to manage multiple priorities and projects with tight deadlines.
• A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Responsibilities

• Log all claim appeals timely, accurately, and completely into the claim appeals tracking tool, including uploading electronic medical records and other claim appeal documents.
• Transfer documents from the department’s document portals to the appeals processing system.
• Maintain the integrity of the appeal logging and filing systems.
• Prepare claim appeal cases for clinical review by completing the SharePoint tool used to send cases to the UM department.
• Retrieve daily mail and prepare it for data entry.
• Manage the short-term storage of paper claim appeal documents and send them for shredding per department policy.
• Mail correspondence necessary to support the appeals process.
• Scan incoming Checks and Refunds for accounting purposes and document storage and recovery.

Benefits

• PTO
• Floating holidays
• Nine company paid holidays
• Employee Assistance Program
• Medical insurance
• Dental insurance
• Vision insurance
• Supplemental insurance such as critical illness and accidental injury
• Health care flexible spending account options
• Dependent care flexible spending account options
• Employer-paid basic life insurance and AD&D (employee, spouse and dependent)
• Short-term disability coverage
• Long-term disability coverage
• Voluntary life insurance (employee, spouse, dependent)
• Retirement plan
• Tuition reimbursement (based on eligibility)
• Annual bonus program (based on eligibility, requirements and performance)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED