Teams at Denver Health

Coordinate and manage provider enrollments and recredentialing with Medicare, Medicaid, and commercial payers. Maintain credentialing records, ensure compliance with TJC/NCQA/CMS standards, resolve enrollment issues, track provider data, and support onboarding and practice operations.

Provides primary pediatric care in school-based settings as an advanced practice provider. Examines, diagnoses, prescribes, orders tests, performs procedures within scope, documents care, refers to specialists, participates in education, and supports clinical operations and compliance.

Performs billing, claims submission, denial management, cash application, payer remittance reconciliation, and account follow-up to ensure optimal reimbursement. Uses Siemens Invision, imaging and eligibility software, researches and resubmits claims, communicates with payers and departments, and provides customer service and financial guidance for self-pay accounts.