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Insurance Appeals Jobs in Colorado (NOW HIRING)

Grievances & Appeals Representative

Rico, CO · On-site +1

$34K - $45K/yr

Become a part of our caring community The Grievances & Appeals Representative 3 manages client ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...

As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...

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Insurance Appeals information

What are the key skills and qualifications needed to thrive in Insurance Appeals, and why are they important?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an Insurance Appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.
What are popular job titles related to Insurance Appeals jobs in Colorado? For Insurance Appeals jobs in Colorado, the most frequently searched job titles are:
What cities in Colorado are hiring for Insurance Appeals jobs? Cities in Colorado with the most Insurance Appeals job openings:
Infographic showing various Insurance Appeals job openings in Colorado as of July 2026, with employment types broken down into 22% Locum Tenens, 68% Full Time, 7% Part Time, 2% Contract, and 1% Summer. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution.

Certification Services Appeals Specialist

BEHAVIOR ANALYST CERTIFICATION BOARD

Littleton, CO

$63K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Job description

Description

The Behavior Analyst Certification Board, Inc. (BACB) is a nonprofit 501(c)(3) corporation established in 1998 to provide professional credentialing services for practitioners of behavior analysis services. We are located in Littleton, CO with beautiful views of the adjacent Rocky mountains. Take a moment to peruse our employment page to learn about what we do and watch a brief video that describes our Welcoming Workplace!


At the BACB we strive to provide an inclusive and rewarding culture. We provide a work environment that focuses on positive reinforcement with a continual feedback loop to help staff achieve success. A healthy work-life balance is critical and the BACB provides exceptional benefits that promote self-care and wellness. All full-time staff enjoy:

  • Medical, vision, and dental insurance premiums paid 100% by the BACB for the employee and all eligible dependents. Employees don't pay any benefit premiums!
  • Long-term disability benefits for the employee paid 100% by the BACB.
  • The BACB provides every full-time employee a $50,000 life insurance and AD&D policies at no cost to the employee.
  • Annual $500 FSA contribution by the BACB.
  • Employer funded 401(k) contributions up to a 4% employer match and discretionary contributions for eligible staff.
  • 18 days of Paid Time Off in the first year of employment plus 12 paid holidays.
  • Tuition reimbursement available.
  • Student loan paydown plan available.
  • Reimbursement for relevant professional development events.
  • Free solar-powered electric car charging on-site.
  • Onsite fitness facility at no cost.
  • Work from home Wednesdays.

Compensation: The BACB uses compensation data for the metro Denver labor market to ensure our positions provide a competitive wage based on the required education and experience.

  • The annual salary for this position is $63,700

The successful candidate meets the required education and experience but also enjoys:

  • Working in the office in a team environment
  • Participating in collaborative discussions with team members
  • Learning and professional development

To be considered, all applicants must meet the experience and education outlined below, provide a cover letter and updated resume.


Position Summary: This position's primary responsibility is to process administrative appeals of processed certification applications.

Requirements

  • Learn and maintain ongoing knowledge of all certification requirements and processing procedures.
  • Process administrative appeals resulting from adverse decisions or compassionate circumstances.
  • Create and provide applicable reporting information to department leadership.
  • Use appeal data to identify areas of improvement and make recommendations to leadership.
  • Present appeal decisions to Appeal Committee.
  • Maintain appeals process documentation updates.
  • Attend scheduled meetings.
  • Other duties as assigned.

Competencies

  • Critical thinking
  • Attention to details
  • Professional verbal and written communication
  • Time management
  • Collaborative
  • Embraces change

Experience and Education:

  • High school diploma or equivalent
  • Minimum of 2 years' full-time experience in an administrative support role performing similar duties
  • Minimum of 2 years' full-time experience using Microsoft Excel with intermediate skill level
  • Minimum of 1 year full-time experience handling ADA accommodation requests 
  • Minimum typing speed of 60 wpm with 90% accuracy
  • Proficient using Microsoft Office Suite

Supervisory Role: No


Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, and video conferencing.


Physical Demands: While performing the duties of this job, the employee is regularly required to listen and speak. This is largely a sedentary role; however, the ability to lift and carry a laptop, lift files, open filing cabinets, frequently type, bend and reach as necessary is essential to the position.


Position Type and Expected Hours of Work: This is a regular full-time IN OFFICE position. Days and hours of work are Monday through Friday, typically 8:00 a.m. to 5 p.m. Occasional evening, holidays, and weekend work may be required based on operations.


Campus Wellness: The BACB is a tobacco and vape free campus. Consumption of tobacco products or vaping of any kind is prohibited.


Travel: Minimal travel is expected for this position.


Other Duties: Please note this job advertisement contains the essential functions of the job and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities. Duties, responsibilities and activities may change at any time with or without notice.


BACB provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.


This position will remain open until filled.