Appeal Resolution Manager jobs in Arizona

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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Account Manager/Sales
  • High Resolution Engineering LLC
  • Phoenix, AZ FULL_TIME
  • About Us At High Resolution Engineering LLC, we redefine the audiovisual landscape for corporate events, broadcasts, trade shows, and live events with our premium AV rental kits. We're a privately own...
  • 1 Month Ago

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Household Manager
  • Hiring Manager
  • Phoenix, AZ FULL_TIME
  • We are seeking a dedicated and organized individual to join our household as a Household Manager. The ideal candidate will take charge of various tasks related to the care of our little one, manage ho...
  • 23 Days Ago

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Dental Hygienist - PT/FT RDH
  • Hiring Manager
  • Phoenix, AZ PART_TIME
  • Benefits: Bonus based on performance Company parties Competitive salary Dental insurance Employee discounts Free food & snacks Health insurance Opportunity for advancement Paid time off Training & dev...
  • 17 Days Ago

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Dentist - Large Private Practice
  • Hiring Manager
  • Phoenix, AZ FULL_TIME
  • A growing West Valley private practice is looking for an experienced and motivated associate doctor to work full-time position. Practice has steady growth and every opportunity to grow your patient ba...
  • Just Posted

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Dental Assistant/Lab Tech
  • Hiring Manager
  • Phoenix, AZ FULL_TIME
  • We are looking for a Dental Assistant/lab tech that can do all on 4 conversions and are familiar with hybrid bridges. Our team helps people restore their oral health and want to work in an environment...
  • 5 Days Ago

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Summer Intern
  • Resolute Management, Inc.
  • Chicago, IL
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/26/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart Pc
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/26/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/26/2024 12:00:00 AM

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Litigation Associate
  • Honcho Executive Search Group, LLC
  • Honcho, acting as the search firm on behalf of an East Coast based law firm is currently seeking a Civil Litigation Atto...
  • 4/25/2024 12:00:00 AM

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Policy Search Analyst
  • Resolute Management, Inc.
  • Boston, MA
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/24/2024 12:00:00 AM

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Associate Attorney
  • Donaldson Stewart, PC
  • Chandler, AZ
  • Donaldson Stewart, PC is seeking a Family Law Attorney to join our Chandler, Arizona team. If you or someone you know ma...
  • 4/23/2024 12:00:00 AM

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Policy Search Analyst
  • Resolute Management Inc.
  • Boston, MA
  • Resolute Management, Inc. is a Third-Party Administrator hired by clients to handle complex environmental, asbestos, and...
  • 4/22/2024 12:00:00 AM

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Personal Injury Attorney
  • Rob Levine Law
  • Myrtle Point, OR
  • Personal Injury Attorney in RI, MA - Remote Position - Great Base Pay and Training Are you ready to take your career and...
  • 4/22/2024 12:00:00 AM

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$91,123 to $118,426

Appeal Resolution Manager in Bergenfield, NJ
The appeals conference is an informal meeting in which an impartial officer settles the dispute in the same way a judge does between a plaintiff and defendant in court.
January 01, 2020
Appeal Resolution Manager in Concord, NH
A number of local governments have already passed the resolutions and others are expected to consider the measures.
January 04, 2020
Appeal Resolution Manager in Appleton, WI
If your tax return was recently under examination and you received written notification of an adjustment the IRS is making to your tax return, such as disallowing a deduction or credit, you have the right to disagree and the right to appeal its decision.
December 23, 2019