Appeal Resolution Manager jobs in Virginia

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 2021

Healthcare Customer Service Rep
  • Healthcare Support
  • Virginia Beach, VA
  • Provide accurate plan benefit education and resolution of questions or concerns for telephone calls ... with the claims, appeals, provider relations, finance, client services and care management ...
  • yesterday

Physician Insurance Analyst 4
  • Inova Health System
  • Annandale, VA
  • Able to process Appeals (level 1 and 2) and check claim status via phone/payer website. * Able to ... Management. * Provide resolution for pended claims within allowable time frames (as defined for ...
  • 5 days ago

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$86,130 to $111,940

Appeal Resolution Manager in Adrian, MI
Demonstrate a genuine interest in serving the needs of others and a positive attitude toward the community, co-workers, and individuals we serve.
October 01, 2021
Represents the organization to the public with a courteous, helpful and business-like attitude.
September 15, 2021
Develop, implement, and track key metrics that drive performance taking a leadership role in maximizing the social and financial return of the community resources invested in Goodwill.
May 20, 2021