Appeal Resolution Supervisor jobs in Oregon

Appeal Resolution Supervisor supervises a team responsible for the processing of appeals. Assigns and prioritizes cases. Being an Appeal Resolution Supervisor responds to and resolves escalated issues. Coaches and trains team in the utilization of industry standards and best practices. Additionally, Appeal Resolution Supervisor requires a bachelor's degree. Typically reports to a manager. The Appeal Resolution Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be an Appeal Resolution Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)

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Claims Appeal Representative
  • Providence
  • UNKNOWN, OR PART_TIME,FULL_TIME
  • Description

    Claims Appeal Representative - 100% Remote. Part Time- Day Shift.. We welcome residents in our footprint states, AK, CA, OR, WA, TX, NM, or MT.

    The Claims Appeal Representative position is responsible for day to day review, coordination and management of technical denials requiring background and understanding from a provider operational and payer logistical perspective. Works closely with the Clinical Denial RN and support staff to review denied accounts, prepare rebuttals, discuss denials with payer representatives and monitor outcomes of follow-up activities. Works closely with the Clinical Denial RN on nuances associated with denials of a clinical nature

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required qualifications:

    • 3 years of familiarity with managed care contracting, provider operations and/or payer operations. Experience in negotiations preferred.
    • 3 years of Patient Accounting experience in a physician office, acute hospital, or medical collections.
    • 3 years of Billing collections, or denials management experience and medical terminology.
    • 3 years of experience in medical management computer applications.

    Preferred qualifications:

    • Associate's Degree Or equivalent educ/experience
    • 1 year of experience specifically with Epic applications.

    Salary Range by location:

    NorCal (Napa, Sonoma)

    Min: $25.23, Max: $40.12

    Southern California, NorCal (Humboldt) Alaska (Kodiak, Seward, Valdez)

    Min: $22.48, Max: $35.76

    WA Puget Sound Oregon (Portland) Alaska (Anchorage)

    Min: $21.57, Max: $34.20

    Oregon (Hood River, Medford, Seaside)

    Min: $20.11, Max: $31.98

    Eastern Washington (Richland, Spokane, Walla Walla)

    Min: $19.19, Max: $30.52

    Montana

    Min:$17.37, Max: $27.62

    Texas

    Min:$16.45, Max: $26.16

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 268356

    Company: Providence Jobs

    Job Category: Claims

    Job Function: Revenue Cycle

    Job Schedule: Part time

    Job Shift: Day

    Career Track: Admin Support

    Department: 4001 SS RC REGULAT DENIAL

    Address: CA Irvine 3345 Michelson Dr

    Work Location: Providence Health System Office-Irvine

    Pay Range: $see posting - $see posting

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 3 Days Ago

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Resolution specialist
  • HBCS
  • Remote, OR FULL_TIME
  • As an A / R Support Specialist , you will research general financial inquiries and processes all inbound and outbound correspondence. You will also make updates to client systems with all necessary de...
  • Just Posted

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Remote, Customer Care Specialist - Oregon
  • First Call Resolution
  • Eugene, OR FULL_TIME
  • Bringing smiles is what we do at FCR … for you and the customer. As a Customer Care Specialist working remotely in Eugene, OR and surrounding areas, you’ll be a part of creating and delivering amazing...
  • 17 Days Ago

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WFH - Tax, Customer Service Representative - Oregon
  • First Call Resolution
  • Eugene, OR FULL_TIME
  • **** THIS IS A REMOTE WORK FROM HOME POSITION ******** YOU MUST LIVE IN THE SAME STATE AS THE POSITION TO BE ELIGIBLE **** What will you do in this position? Are you a credentialed CPA, Enrolled Agent...
  • 17 Days Ago

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Remote, Financial Customer Care Specialist - Oregon
  • First Call Resolution
  • Eugene, OR FULL_TIME
  • Bringing smiles is what we do at FCR … for you and the customer. As a Financial Customer Care Specialist working remotely in Eugene, OR and surrounding areas, you’ll be a part of creating and deliveri...
  • 17 Days Ago

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

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Production Control Analyst
  • iSource Group
  • Birmingham, AL
  • Job Description Job Description Production Control Analyst We have an opening for a Production Control Analyst with a st...
  • 3/29/2024 12:00:00 AM

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Senior Business Analyst - Salesforce Team
  • Great American Insurance Group
  • Cincinnati, OH
  • The Salesforce team is looking for a Business Analyst. The Salesforce Team is responsible for supporting and enhancing t...
  • 3/28/2024 12:00:00 AM

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HR Manager (Mandarin Speaker)
  • Wenham Carter Group
  • Boston, MA
  • Wenham Carter is partnering with a leading international biotechnology company, seeking a dynamic and skilled HR Manager...
  • 3/28/2024 12:00:00 AM

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Sr Paralegal, Corporate & Securities
  • PBF Energy, Inc.
  • Parsippany, NJ
  • Sr Paralegal, Corporate & Securities PBF Energy Inc. (NYSE:PBF) is one of the largest independent refiners in North Amer...
  • 3/28/2024 12:00:00 AM

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Claims Examiner - Workers Compensation
  • CYNET SYSTEMS
  • Roseville, CA
  • Job Description: Pay Range $43hr - $48hr Responsibilities: Manages workers compensation claims determining compensabilit...
  • 3/28/2024 12:00:00 AM

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Civil Project Engineer
  • Dragados USA, Inc.
  • Honolulu, HI
  • Lead project meetings to collect and disseminate information pertaining to the project Responsible for technical specifi...
  • 3/26/2024 12:00:00 AM

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Technical Engineer, Change
  • VTG
  • Virginia Beach, VA
  • Overview VTG is seeking a Technical Engineer, Change to assist in the Change Order process supporting our Virginia Beach...
  • 3/26/2024 12:00:00 AM

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Service Desk Supervisor
  • Encore Technologies
  • Cincinnati, OH
  • Encore Technologies is seeking a Service Desk Supervisor The role involves planning, organizing, and directing the Servi...
  • 3/25/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Supervisor jobs
$69,295 to $84,727