Appeal Resolution Specialist jobs in Delaware

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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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 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 experience
    • Researching alternate insurance or payment options available while navigating and updating multiple patient accounting systems
    • Assessing caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines

    The best fit for this job is someone who:

    • Has previous customer service and/or collections experience
    • Has demonstrated proficiency operating and utilizing multiple internal and external collections systems and reporting mechanisms in order to ensure account resolution
    • Possesses excellent communication skills – no fear of the phones!
    • Has the ability to identify an issue, examine options, and provide effective solutions
    • Has a high school diploma or equivalent
    • Has 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 workspace

    Why 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!

    PLUS

    • Medical, Dental, Vision and Life Insurance
    • 401(k) with Substantial Company Match
    • Ability to work from home
    • Tuition Reimbursement
    • Generous Paid Time Off and Paid Company Holidays
    • Work/Life Balance: Morning and Evening Shifts available
    • Employee Assistance Program

    Who 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

  • 1 Month Ago

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Ophthalmic Technician
  • Omni Eye Specialist Pa
  • Wilmington, DE FULL_TIME
  • ** Regular travel to satellite locations is required ** ESSENTIAL JOB DUTIES: Greets patients and visitors in a prompt, courteous and helpful manner. Obtains patient history and transcribes results in...
  • 30 Days Ago

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Specialist
  • Apple Leisure Group
  • Smyrna, DE FULL_TIME
  • Job Details Description At Apple Leisure Group, we care for people so they can be their best. We deliver distinctive experiences for our guests, while providing a world of understanding and care. We s...
  • 16 Days Ago

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Specialist
  • VitalCore Health Strategies
  • Georgetown, DE FULL_TIME
  • Join the VitalCore Health Strategies Team! Apply today, and help us to make a difference : VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has an opening for a Reent...
  • Just Posted

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Wine Specialist
  • Acker Auction
  • Newark, DE FULL_TIME
  • DescriptionThe Wine Specialist will work to support Acker Storage, Newark Delaware warehouse operation. This position will receive, inspect, and inventory wines to be input into a database for sale. T...
  • 16 Days Ago

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Go specialist
  • long horn steak house
  • Bear, DE FULL_TIME
  • WE ARE LONGHORN. Legendary food and service begins with legendary people. We believe in earning the loyalty of our Team Members with our strong, diverse culture, well-done benefits and growth opportun...
  • 16 Days Ago

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Subject Matter Expert
  • Vtg
  • Washington, DC
  • OverviewVTG is seeking aSubject Matter Expert(SME) to provide technical, program management, and analytical support to P...
  • 4/24/2024 12:00:00 AM

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Electrical Subject Matter Expert
  • Meta
  • Newton, GA
  • Meta is seeking a data center Electrical Subject Matter Expert (SME) to join our Data Center Facility Operations team. O...
  • 4/24/2024 12:00:00 AM

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Acquisition Subject Matter Expert
  • Kepler Research, Inc.
  • Woodbridge, VA
  • Acquisition and Program Management Subject Matter Expert supporting the Missile Defense Agency (MDA), Director of Acquis...
  • 4/23/2024 12:00:00 AM

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IT Subject Matter Expert
  • Contact Government Services, LLC
  • Hollywood, FL
  • IT Subject Matter Expert Employment Type: Full Time, Experienced level Department: Information Technology As an IT Subje...
  • 4/22/2024 12:00:00 AM

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Electrical Subject Matter Expert
  • Meta
  • Kuna, ID
  • Meta is seeking a data center Electrical Subject Matter Expert (SME) to join our Data Center Facility Operations team. O...
  • 4/22/2024 12:00:00 AM

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Subject Matter Expert
  • THR Partners
  • Houston, TX
  • Job Description Job Description This person will be an experienced engineer with sound understanding of HVAC systems tes...
  • 4/21/2024 12:00:00 AM

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Polymer Specialist/Subject Matter Expert
  • Generis Tek, Inc.
  • Minneapolis, MN
  • Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Rohan Salve at emai...
  • 4/21/2024 12:00:00 AM

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Acquisition Subject Matter Expert
  • Kepler Research Inc.
  • Woodbridge, VA
  • Acquisition and Program Management Subject Matter Expert supporting the Missile Defense Agency (MDA), Director of Acquis...
  • 4/21/2024 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 Specialist jobs
$48,385 to $59,940

Appeal Resolution Specialist in Tallahassee, FL
Are you interested in a position that supports the federal judiciary's mission of ensuring equal justice under the law? Come join our talented and diverse team at the Court of Appeals! About the Court The United States Court of Appeals for the 9th.
December 31, 2019
Appeal Resolution Specialist in Monterey, CA
SummaryThe Appeals Manager Owns the output of a single work area within Appeals and typically manages a team of Appeals job family roles.
December 28, 2019
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020