Appeal Resolution Manager jobs in the United States

Appeal Resolution Manager plans, organizes, and directs the work activity of the appeal and grievance team consistent with organizational policies and procedures and which is compliant with state and federal guidelines. Oversees research, investigation, negotiation and resolution of all types of appeals and grievances. Being an Appeal Resolution Manager prepares formal briefs and appears at hearings as a representative of the organization. Requires a bachelor's degree. Additionally, Appeal Resolution Manager typically reports to a 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. Extensive knowledge of department processes. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2020

Reimbursement Coordinator
  • Sunrise Systems Inc
  • Gaithersburg, MD
  • ... Management system · Ensure timely processing and resolution of cases · Escalate cases ... and appeal requests on behalf of the provider · Educate offices on Access 360 programs and ...
  • yesterday

Medical Claims Denial Specialist
  • Lags Spine and Sportcare Medical Centers Inc
  • Salem, OR
  • Under the supervision of the Manager, the performs advanced level work related to claims denial or ... Initiate appeals with payers appropriately * Submit detailed, customized appeals to payers based on ...
  • 7 days ago

Income Estimation for Appeal Resolution Manager jobs
$82,507 to $108,029