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)
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