Appeal Resolution Manager jobs in the United States

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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Practice Manager
  • Skin Appeal
  • Tucson, AZ FULL_TIME
  • We are seeking a versatile individual with exceptional communication skills and proven leadership experience to join our team as a Practice Manager. The ideal candidate is self-motivated, organized, and committed to excellence and should thrive in a fast-paced, ever-changing environment and excel at managing multiple priorities. The Practice Manager must maintain a composed and reassuring presence for both patients and staff. This full-time position is based in our clinic.

    The perfect candidate will have a passion for aesthetics with a desire to work closely with our staff and patients to ensure an exceptional customer experience. We offer an upbeat environment and an opportunity to be a part of helping our patients feel more confident and beautiful.

    Responsibilities:

    • Efficiently manage day-to-day operations of a multi-provider med spa practice, overseeing both medical and non-medical staff. Must be willing to fill in and function as a Patient Care Coordinator when needed.
    • Collaborate with owner to ensure an exceptional patient experience.
    • Implement and uphold clinic operations in alignment with our values, policies, and procedures.
    • Optimize scheduling and practice flow to enhance the patient experience.
    • Supervise daily center operations, including staff scheduling, reconciliation, and ensuring operational compliance.

    · Professionally and compassionately handle patient complaints

    · Lead high-performing teams and motivate the organization toward a common goal.

    · Motivating and coaching team members to meet or exceed monthly KPIs.

    • Ensure legal and accreditation compliance according to federal, state, and local regulations
    • Support and enforce policies related to patient safety, quality improvement, and infection control.
    • Oversee administrative and facility functions, including mail processing, maintenance coordination, and adherence to regulatory requirements.
    • Provide operational guidance, support, and training to all practice staff members, including front office staff, nurses, laser techs, aestheticians and internal sales/marketing teams.
    • Serve as a cultural role model within the practice and address any employee relations issues.

    · Perform periodic chart reviews, monitor operations for compliance with protocols and policies. Report deviations to owner.

    · Ensure staff compliance with HIPPA, OSHA, etc

    · Assist in the prescreening, interviewing and onboarding process for new employees

    · Develop and support a healthy team environment among departments.

    · Develop and maintain systems to provide continuing education and certification for clinical providers.

    · Maintain employee files and ensure compliance with federal and state human resource regulations.

    · Review timesheets for all employees in Isolved, fix errors as needed, approve bi-weekly timesheets and payroll registers. Ensure proper deductions and pay rates.

    · Approve/Deny PTO requests in accordance with office PTO policies.

    · Manage staff aesthetic allowances

    • Monthly Inventory counting and reporting

    · Reports to: Practice Owner

    Minimum Job Qualifications:

    • Minimum of 2 years of management experience, preferably in medical spa, plastic surgery or other aesthetics setting.

    · Ability to perform all administrative tasks in practice to allow effective supervision and serve as back-up patient care coordinator as needed.

    · Sales experience a plus

    · Excellent customer service skills, and effective communication style w/high level of emotional maturity.

    · Ability to lead high-performing teams and motivate an organization toward a common goal.

    · Above-average judgment, integrity, discretion and trustworthiness.

    • Professional demeanor and excellent interpersonal skills.
    • Self-directed with a flexible and enthusiastic attitude.
    • Strong attention to detail and organizational abilities.
    • Exceptional written and verbal communication skills.
    • Passion for fostering personal and professional growth in others.
    • Customer-focused mindset with a compassionate approach.
    • Human resource certification or leadership training preferred.

    Benefits & Perks:

    • Competitive health, dental, and vision insurance options.
    • Retirement benefits including 401(k) & Roth IRA plans.
    • Paid time off, including vacation, sick days, and company holidays.

    Salary/Compensation:

    • Base salary plus monthly bonus potential
    • Full compensation packages commensurate with candidate experience and relevant licenses or certifications.

    Job Type: Full-time

    Pay: $55,000.00 - $60,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee discount
    • Health insurance
    • Health savings account
    • Paid time off
    • Vision insurance

    Healthcare setting:

    • Clinic
    • Medical office

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Tucson, Az 85719: Relocate before starting work (Required)

    Work Location: In person

  • 2 Days Ago

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Wholesale Manager
  • Grass Appeal LLC
  • Uxbridge, MA FULL_TIME
  • Position: Wholesale Manager Reports to: Chief of Staff Salary: $60k Base Incentive Work Location: Uxbridge MA/Hybrid Company Overview: Blackstone Valley Cannabis is a different kind of cannabis compan...
  • 4 Days Ago

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Appeal and Tax Exemption Manager
  • County of Bernalillo
  • Albuquerque, NM FULL_TIME
  • POSITION SUMMARYResponsible for the daily management and supervision of the assigned Property Assessment Coordinators, Appraisal and Administrative support staff. Manage the timely and effective in-ta...
  • 7 Days Ago

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Appeal and Tax Exemption Manager
  • County of Bernalillo
  • Albuquerque, NM FULL_TIME
  • POSITION SUMMARYResponsible for the daily management and supervision of the assigned Property Assessment Coordinators, Appraisal and Administrative support staff. Manage the timely and effective in-ta...
  • 7 Days Ago

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Technical Delivery Manager - Lead Infrastructure Project Manager
  • Resolution Technologies
  • Atlanta, GA FULL_TIME
  • Job DetailsTechnical Delivery Manager - Lead Infrastructure Project Manager ***Position will be onsite daily in Atlanta*** Technical Delivery Manager - Sr. Infrastructure Project Manager Responsibilit...
  • 13 Days Ago

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Business Insurance Sr. Account Manager (P & C)
  • Resolution Technologies
  • Peachtree, GA FULL_TIME
  • Business Insurance Sr. Account Manager (P&C) Description : The main goal and... 3 days ago
  • Just Posted

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson LLP
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/25/2024 12:00:00 AM

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IS Customer Service Analyst II - ECHT (Wed - Sat 8:30am - 7:30pm)
  • edgecomputingassociation.com
  • Columbus, OH
  • Location Columbus, Ohio , United States Overview: The IS Customer Service Analyst 2 serves as the initial point of conta...
  • 4/24/2024 12:00:00 AM

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Attorney - Judge Advocate
  • Marine Corps Recruiting
  • Columbus, OH
  • Becoming a Judge Advocate is a unique opportunity to practice law in a range of areas, develop courtroom experience, and...
  • 4/23/2024 12:00:00 AM

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Conflicts Attorney (Remote in CA or Hybrid)
  • Farella Braun + Martel LLP
  • Columbus, OH
  • The Opportunity: Conflicts Resolution Attorney Conflicts Resolution Attorneys support the delivery of quality legal serv...
  • 4/23/2024 12:00:00 AM

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Credit Bureau Disputes Specialist Sr - Columbus, OH
  • VetJobs
  • Columbus, OH
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/22/2024 12:00:00 AM

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Workers' Compensation Defense Attorney (Hybrid/Remote)
  • Hinshaw & Culbertson Llp
  • Columbus, OH
  • Hinshaw & Culbertson, a leading national law firm, is seeking an associate with 1-3 years of workers' compensation exper...
  • 4/22/2024 12:00:00 AM

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Patent Litigation Associate (Atlanta, GA or Remote)
  • Perilla Knox & Hildebrandt LLP
  • Columbus, OH
  • Perilla Knox & Hildebrandt LLP (PKH) is a dynamic and forward-thinking law firm based in Atlanta, Georgia that specializ...
  • 4/21/2024 12:00:00 AM

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Patent Litigation Associate (Atlanta, GA or Remote)
  • Perilla Knox & Hildebrandt Llp
  • Columbus, OH
  • Perilla Knox & Hildebrandt LLP (PKH) is a dynamic and forward-thinking law firm based in Atlanta, Georgia that specializ...
  • 4/21/2024 12:00:00 AM

Income Estimation for Appeal Resolution Manager jobs
$93,556 to $121,587