Appeal Resolution Manager jobs in Delaware

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Resolution specialist
  • HBCS
  • Castle, DE FULL_TIME
  • If you share our passion for superior customer service and have what it takes to make each patient’s experience rewarding, then HBCS is the place for you.

    You will use your positive attitude, your caring nature, and your top-notch customer service skills to create a superior patient experience.

    What you’ll be doing : Managing a high volume of in-bound and out-bound calls from patients, hospitals, and insurance carriers to resolve patient accounts and humanize the patient experienceResearching alternate insurance or payment options available while navigating and updating multiple patient accounting systemsAssessing caller status to ensure the protection of patient privacy and compliance with State and Federal guidelinesThe best fit for this job is someone who : Has previous customer service and / or collections experienceHas demonstrated proficiency operating and utilizing multiple internal and external collections systems and reporting mechanisms in order to ensure account resolutionPossesses excellent communication skills no fear of the phones!Has the ability to identify an issue, examine options, and provide effective solutionsHas a high school diploma or equivalentHas the ability to productively work remotely, including : Reliable and secure non-satellite-based internet connection (this will be tested prior to start date)Dedicated quiet and private workspaceWhy you’ll want to join the HBCS team : We offer a competitive total compensation package comprised of a base salary range and incentive.

    This provides the opportunity for your compensation to grow as you develop within the role. The base salary range for this role is between $18 and $27 per hour, and is dependent upon your specific skills, qualifications, experience, and location.

    The opportunity for advancement is outstanding! We invest in our team members through training and development to help them reach their career goal and their full potential in the fastest growing career industry Healthcare!PLUSMedical, Dental, Vision and Life Insurance401(k) with Substantial Company MatchAbility to work from homeTuition ReimbursementGenerous Paid Time Off and Paid Company HolidaysWork / Life Balance : Morning and Evening Shifts availableEmployee Assistance ProgramWho we are : HBCS is a leader in healthcare receivables management, providing electronic billing, insurance follow-up, and self-pay recovery services to hospitals and healthcare providers throughout the United States.

    Our success story is a product of our skilled and expertly trained staff, and their continuous commitment to demonstrating exceptional customer service while utilizing state-of-the-art technology.

    With headquarters in New Castle, Delaware and a remote workforce operating from home offices throughout the country, our skilled and dedicated team delivers quality, value-added services to ensure that the goodwill established between our partner hospitals and health systems and their patients remains steadfast.

    HBCS is an Equal Opportunity Employer. We are proud that we have always been committed to diversity in the workplace and to offering employment opportunities without regard to race, color, religion, sex (including pregnancy), gender identity, gender expression, national origin, age, military experience (active, veterans, reservists and National Guard), genetic information, disability, or other legally protected characteristics.

    Required Skills : PI237470145Apply Here

    Last updated : 2024-03-02

  • 24 Days Ago

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Marketing Manager, Consumer – Respiratory Inhaled
  • 10000143 - Promotion Manager
  • Wilmington, DE FULL_TIME
  • At AstraZeneca every one of our employees makes a difference to patient lives every day. Each and every one of us believes that science has the ability to change lives and that to deliver this takes m...
  • 5 Days Ago

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Patient Resolution Specialist
  • HBCS
  • Castle, DE FULL_TIME
  • Do you pride yourself on solving problems, finding solutions, and taking care of others? Are you attentive to customers and take time to really listen to their needs? If you share our passion for supe...
  • 4 Days Ago

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Claims Research & Resolution Representative
  • Humana
  • Home, DE FULL_TIME
  • Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, Humana ) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encoura...
  • 1 Month Ago

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AE - Selling Team Leader (Assistant Manager) - US
  • Selling Team Leader (Assistant Manager) - US - American Eagle Outfitters Careers
  • United States, DE FULL_TIME
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Selling Team Leader, you are the Store Team Leader's "go-to" in developing and implementing the business strategy and leading the daily operations ...
  • 18 Days Ago

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Warehouse Work
  • Canada-Quality Manager I (Engineering) #: 22-22011 . - Engineering Jobs | Engineer Careers Canada
  • Newark, DE FULL_TIME
  • Order Notes:01/19/2024 1207 ESTMichael PeytonPar Tech5am-1:30pmBil Rate ***If candidate is selected to interview, they will be held in person at Christian Hospital at 10am on Tuesdays/Thursdays only.R...
  • 6 Days Ago

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Personal Injury Attorney
  • Rob Levine Law
  • Myrtle Point, OR
  • Personal Injury Attorney in RI, MA - Remote Position - Great Base Pay and Training Are you ready to take your career and...
  • 3/28/2024 12:00:00 AM

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Hotel Maintenance
  • La Quinta Inn/Alexandria
  • Alexandria, LA
  • Job Description Job Description Benefits/Perks Competitive wages Thorough training on proper cleaning and disinfecting C...
  • 3/28/2024 12:00:00 AM

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Hotel Maintenance Manager
  • DOUBLE STAR HOSPITALITY DECATUR LLC
  • Forsyth, IL
  • Job Description Job Description Benefits/Perks Competitive wages Thorough training on proper cleaning and disinfecting C...
  • 3/28/2024 12:00:00 AM

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Regional Sales Manager
  • Fuse Specialty Appliances
  • Naples, FL
  • We are seeking a dynamic and results-driven Regional Sales Manager to join our team. The successful candidate will be re...
  • 3/26/2024 12:00:00 AM

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VP, General Counsel - Remote US
  • Seamless.AI
  • Columbus, OH
  • The Opportunity: We are looking for a business-savvy lawyer who can balance risk, make sound judgments and win negotiati...
  • 3/26/2024 12:00:00 AM

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Contentful Senior Support Engineer
  • HCLTech
  • Boston, MA
  • HCLTech is looking for a highly talented and self- motivated Scada Engineer to join in us advancing the technological wo...
  • 3/24/2024 12:00:00 AM

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Corporate Counsel
  • Renewable Properties
  • San Francisco, CA
  • Renewable Properties is seeking to bring on an experienced and talented Corporate Counsel to effectively collaborate and...
  • 3/24/2024 12:00:00 AM

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Warehouse Coordinator
  • ProLogistix
  • Anaheim, CA
  • Base Pay: 19.00 per HOUR NOW HIRING! Warehouse Coordinator in Anaheim, CA Pay Rate: $19.00/ hour Essential Job Functions...
  • 3/24/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$95,341 to $123,908

Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019