Appeal Resolution Specialist jobs in Michigan

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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Resolution specialist
  • Prime Healthcare
  • Garden, MI FULL_TIME
  • Overview

    At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare.

    We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country.

    The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at .

    Last updated : 2024-04-22

  • Just Posted

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Remote, Financial Customer Care Specialist - Michigan
  • First Call Resolution
  • Detroit, MI FULL_TIME
  • Bringing smiles is what we do at FCR … for you and the customer. As a Financial Customer Care Specialist working remotely in Detroit, MI and surrounding areas, you’ll be a part of creating and deliver...
  • 1 Month Ago

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Account Resolution Specialist - GCH
  • Prime Healthcare Services
  • Garden, MI FULL_TIME
  • Location US-MI-Garden City ID 2024-157912 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt OverviewJoin an award-winning team of dedicated professionals committed ...
  • 17 Days Ago

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Dispute Resolution Specialist
  • Tommy's
  • Holland, MI FULL_TIME
  • Dispute Resolution Specialist Tommy’s is looking to hire a reliable, detail-oriented and friendly team member to assist our Guest Service team in providing exceptional guest experiences to our Tommy C...
  • 17 Days Ago

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Service Coordinator-Resolution Specialist
  • J&B Family of Companies
  • Wixom, MI FULL_TIME
  • This is a Hybrid Schedule 40 miles or less from Wixom 48393 you will be required to work two days per week in the office. 41 miles from Wixom 48393 you will be 100% Remote Summary: The Service Coordin...
  • 19 Days Ago

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Account Resolution Specialist - GCH
  • Garden City Hospital
  • Garden, MI FULL_TIME
  • Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible ...
  • 6 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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Subject Matter Expert (SME)
  • Koniag Government Services
  • Arlington, VA
  • EHSJob ID 2415034Eagle Harbor Solutions, a Koniag Government Services company , is seeking a Subject Matter Expert (SME)...
  • 4/23/2024 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

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$47,050 to $58,286

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