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Payment processor • westminster co

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Consultant, Payment Intelligence

Consultant, Payment Intelligence

AAreteDenver, CO, United States
[job_card.full_time]
AArete is one-of-a-kind when it comes to consulting firm culture.We're a global, innovative management and technology consulting firm, with offices in the U. Our name comes from the Greek word for e...[show_more][last_updated.last_updated_30]
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Payroll Processor

Payroll Processor

Hercules Industries, Inc.Denver, CO, US
[job_card.full_time]
The Payroll Processor is responsible for accurately processing a weekly payroll for employees, ensuring compliance with federal, state, and local regulations. This role involves analyzing payroll da...[show_more][last_updated.last_updated_variable_days]
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Laboratory Processor

Laboratory Processor

Denver HealthDenver, CO, United States
[job_card.full_time]
We are recruiting for a motivated Laboratory Processor to join our team!.We are here for life's journey.Where is your life journey taking you?. Being the heartbeat of Denver means our heart reflects...[show_more][last_updated.last_updated_variable_days]
Payment Product Manager

Payment Product Manager

MastarrecDenver, Colorado, United States
[job_card.full_time]
MastarRec is hiring a Payments Product Manager to support innovative financial technology platforms operating across the United States. This role focuses on building, scaling, and securing modern fi...[show_more][last_updated.last_updated_variable_days]
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Sr. Customer Service Analyst-Payment Processing

Sr. Customer Service Analyst-Payment Processing

Denver StaffingDenver, CO, US
[job_card.full_time]
Hi, I'm Lolitta Tucker, your Recruiter and guide to joining CSG! We are excited to learn more about you and your unique background. The Sr Customer Service Analyst will address external customer inq...[show_more][last_updated.last_updated_30]
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Postal Mail Processor

Postal Mail Processor

Postal Jobs SourceDenver, CO, US
[job_card.full_time] +1
NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY.The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nea...[show_more][last_updated.last_updated_30]
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Payer Payment & Reimbursement Analyst - Remote / Nationwide

Payer Payment & Reimbursement Analyst - Remote / Nationwide

Signature PerformanceDenver, CO, United States
[filters.remote]
[job_card.full_time]
This is a remote based position.Applicants can be located nationwide.Back Payer Payment & Reimbursement Analyst #2650 United States Apply X Facebook LinkedIn Email Copy Position Description.The Pay...[show_more][last_updated.last_updated_variable_days]
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Processor

Processor

Krispy KremeNorthglenn, CO, United States
[job_card.full_time]
Listed wages are based on company-wide ranges.Actual earnings will vary based on factors such as : restaurant brand, experience, education, geography, applicable minimum wage, unit volume(s), hours ...[show_more][last_updated.last_updated_variable_days]
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Data and Payment Processing Analyst

Data and Payment Processing Analyst

Archdiocese of DenverDenver, Colorado, United States
[job_card.full_time]
Are you ready to bring your professional talents and Catholic faith together to make a true difference in the world? The Archdiocese of Denver is seeking a detail-oriented and service-driven.Data a...[show_more][last_updated.last_updated_variable_hours]
Payroll Processor

Payroll Processor

Hercules IndustriesDenver, Colorado, USA
[job_card.full_time]
The Payroll Processor is responsible for accurately processing a weekly payroll for employees ensuring compliance with federal state and local regulations. This role involves analyzing payroll data ...[show_more][last_updated.last_updated_variable_days]
Payment Product Manager

Payment Product Manager

MastarRecDenver, Colorado, USA
[job_card.full_time]
MastarRec is hiring a Payments Product Manager to support innovative financial technology platforms operating across the United States. This role focuses on building scaling and securing modern fina...[show_more][last_updated.last_updated_variable_days]
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Payment Collection Representative

Payment Collection Representative

VirtualVocationsDenver, Colorado, United States
[job_card.full_time]
A company is looking for a Customer Service - Payment Collection Representative.Key Responsibilities Assist customers with their accounts through phone calls Communicate with managers for feedba...[show_more][last_updated.last_updated_1_day]
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On - Call Closing Processor / Escrow Processor

On - Call Closing Processor / Escrow Processor

Land Title Guarantee CompanyDenver, CO, US
[job_card.full_time]
On-Call Closing Processor / Escrow Processor.The On-Call Closing Processor supports the overall business plan and strategic direction of the organization by assisting in preparing settlement statem...[show_more][last_updated.last_updated_variable_days]
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Senior Payment Accuracy Specialist

Senior Payment Accuracy Specialist

CotivitiDenver, CO, US
[job_card.full_time]
Senior Payment Accuracy Specialist.Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries.We are seeking inn...[show_more][last_updated.last_updated_30]
Processor Clerk

Processor Clerk

Empire PackingDenver, Colorado, USA
[job_card.full_time]
Position responsible for entering and accurately balancing all receivables.Enter all Receivers into Log Book.Sign each receiver for verification of its entry. Process every item number from Pork Usa...[show_more][last_updated.last_updated_variable_days]
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PROCESSOR CLERK

PROCESSOR CLERK

JBS USADenver, CO, US
[job_card.full_time]
Job Title : Process Clerk Location : Denver Department : Office Reports to : Supply Chain Manager FLSA Status : Full-time. Position responsible for entering and accurately balancing all receivables.Enter...[show_more][last_updated.last_updated_variable_days]
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On - Call Closing Processor / Escrow Processor

On - Call Closing Processor / Escrow Processor

Land TitleDenver, CO, United States
[job_card.full_time]
The On-Call Closing Processor supports the overall business plan and strategic direction of the organization by assisting in preparing settlement statements and obtaining clear title.This position ...[show_more][last_updated.last_updated_30]
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PROCESSOR CLERK

PROCESSOR CLERK

JBS USA Holdings, Inc.Denver, CO, United States
[job_card.full_time]
Position responsible for entering and accurately balancing all receivables.Enter all Receivers into Log Book.Sign each receiver for verification of its entry. Process every item number from Pork Usa...[show_more][last_updated.last_updated_variable_days]
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Sterile Processor

Sterile Processor

HealthCare Traveler JobsLakewood, CO, United States
[job_card.full_time]
We are committed to provide unparalleled service and we will do whatever we can to ensure your assignment is as pleasant as possible. If you are interested in this position, please contact your recr...[show_more][last_updated.last_updated_variable_hours]
Consultant, Payment Intelligence

Consultant, Payment Intelligence

AAreteDenver, CO, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Description

Consultant , Payment Intelligence

AArete is one-of-a-kind when it comes to consulting firm culture.

We're a global, innovative management and technology consulting firm, with offices in the U.S., India, and the U.K. Our name comes from the Greek word for excellence : " Arete ." And excellence is exactly what we strive for.

Our success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience.

AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing space for personal development and fulfillment.

The Role

Health plans face continued challenges in reimbursing claims on-time and accurately. AArete's consulting service line, Payment Intelligence , goes beyond typical payment integrity to ensure erroneous and inefficient payments are identified , rectified, and recouped to prevent them in the future. Our Payment Intelligence team addresses issues with payment policies, provider contracts, provider data, covered benefits, member eligibility and prior auth orizations.

In this role, the individual will be responsible for client delivery of Payment Intelligence . The position will report to a Payment Intelligence Manager. The individual will be the subject matter expert on strategies to help our clients ensure proper claims payment through the use of (1) claims analytics, (2) process improvements, (3) integration of automation / technology, and (4) configurations setups. This role will also support the internal development of Payment Intelligence initiatives.

Work You'll Do

  • Support the development, identification and analysis of payment accuracy opportunities through remediation with client counterparts
  • Utilize analytics to identify claims payment opportunities through your knowledge of standard payment methodologies including Prospective Payment Systems (IPPS / OPPS), fee for service, Groupers, RUG, etc.
  • Support process improvements and automation initiatives for clients
  • Conduct research on current events, changes in regulatory requirements and market trends impa cting hea lth plan reimbursement
  • Contribute to the preparation of client ready deliverables with clear and actionable insight
  • Exercise sound judgement and clear and direct communication in all aspects of your work
  • Other duties as assigned

Requirements

  • 2 + years of experience in a role within consulting, provider revenue cycle, a payment integrity vendor, and / or a payer organization
  • Foundational knowledge of claims processing across multiple lines of business, including Medicare, Medicaid, ACA / Marketplace, Commercial, and Duals
  • Experience across various spend areas, including professional, ancillary, outpatient, and inpatient services
  • Ability to identify and analyze mispaid claims to ensure accuracy and compliance
  • Knowledge of industry vendors and tools related to claims processing, provider data, and contract management
  • Understanding of end-to-end claims processes, including claims management, provider lifecycle, and network optimization
  • Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise
  • Experience coaching and mentoring team members
  • Advanced proficiency utilizing Microsoft Excel and basic / intermediate SQL for data analysis
  • Strong analytical, data interpretation, and problem-solving skills
  • Ability to identify client savings opportunities and develop actionable business cases
  • Bachelor's degree or equivalent
  • Direct client interaction with possible travel to client locations
  • Must be legally authorized to work in the United States without the need for employer sponsorship

    • Preferred Requirements

  • Policy & Claims Editing Expertise

    • Research and interpretation of healthcare policies and regulations

  • Experience in reimbursement policy writing and claims editing
  • Proficiency in data mining to detect errors and inconsistencies
  • Ability to crosswalk and compare edits and policies
  • Knowledge of claims editing processes, including Prepay / Post-Pay, COB, Subrogation, Fraud Detection, and Medical Record Reviews
  • Contract Configuration & Provider Data Expertise

    • I nterpretation of provider contract terms and pricing methodologies, including fee schedules, per diem, DRGs, cost-plus, and outlier payments

  • Understanding of contract carve-outs, including bundled services, readmissions , and reductions
  • E xperience in contract pricing and claims reimbursement analysis
  • Ability to price and reprice claims based on contractual agreements
  • Understanding of provider TIN and NPI relationships
  • Knowledge of the provider lifecycle, including Credentialing, Data Management, Contracting, and Configuration
  • Familiarity with network processes, including Optimization, Adequacy, and Pricing
  • Familiarity with claims adjudication systems (e.g., Facet s , QNXT, Amisys, etc.)
  • Based in Chicago, IL, and flexible to work from our Chicago office as needed

    • Compensation & Benefits

  • Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
  • Own Your Day flexible work policy
  • Competitive majority employer-paid benefits : Medical, Dental, Vision, 401K Match
  • Generous paid parental leave options
  • E mployer paid Life Insurance, STD, LTD
  • Charitable contribution matching program
  • New client commission opportunities and referral bonus program
  • Bike share discount program

    • The estimated base salary range for this position is $84,000 - $102,000 . In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guidelin e and individual total compensation may vary due to numerou s factors including but not limited to experience level, certifications, and other relevant business considerations.

    AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available.

    We put humans at the center of our work

    We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.

    But what sets us apart is our people. We are guided by our deeply embedded guiding principles : Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.

    And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.

    We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For , Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms , and Consulting Magazine's Fastest Growing Firms .

    Learn more about our award-winning culture

    We are an Equal Employment Opportunity Employer

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    #LI-DNI