Appeal Resolution Manager jobs in Pennsylvania

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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Conflict Resolution Manager
  • Training5
  • State College, PA OTHER
  • Overview

    Oversee team of Conflict Resolution Specialists. Employee will also be responsible for deescalating customer complaints and leveraging advantageous outcomes for the organization. Some travel required.

    Responsibilities

    Provide training and guidance for CRS Team. Ensure quality control. Develop team members for future manager positions.

    Qualifications

    Bachelor's degree.

    Problem solving skills.

    Critical thinking skills.

    Knowledge of other cultures and languages preferred.

  • 22 Days Ago

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Appeal/PCRA Attorney
  • 5th Judicial District of PA
  • Pittsburgh, PA FULL_TIME
  • POSITION: Appeal/PCRA Attorney CLASSIFICATION: Confidential LOCATION: Conflict Counsel 564 Forbes Avenue Suite 600 Pittsburgh PA 15219 STATUS: Full-Time, Benefits Eligible SALARY: $66,950 annually SUM...
  • 22 Days Ago

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Audit & Appeal Coordinator
  • Grand View Health
  • Sellersville, PA FULL_TIME
  • Schedule: Full Time, 8:30am-5pm, Monday-Friday Responsibilities Under the general direction of the Manager of Health Information Management, the Audit and Appeals Coordinator coordinates recovery audi...
  • 2 Days Ago

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Audit and Appeal Coordinator
  • Grand View Hospital
  • Sellersville, PA FULL_TIME
  • Responsibilities Under the general direction of the Manager of Health Information Management, the Audit and Appeals Coordinator coordinates Recovery Audit Contracting activities to ensure that deadlin...
  • 17 Days Ago

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General Manager
  • General Manager
  • Annville, PA FULL_TIME
  • We are an established manufacturing company listed on the NYSE with numerous plants across the country. Currently we are seeking candidates for the position of General Manager for our plant located be...
  • 1 Day Ago

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Cleaner
  • Aware Manager
  • Harrisburg, PA FULL_TIME,PART_TIME
  • Cleaner We are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition. Responsibilities C...
  • 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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Hotel Maintenance Manager
  • Sms Lodging Llc
  • Williams, AZ
  • 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

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$93,147 to $121,057

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