Appeal Resolution Specialist jobs in El Paso, TX
Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2025 Salary.com)
Recently Added Appeal Resolution Specialist jobs
Specialist, Outreach-2
- Accolade, Inc.
-
El Paso, TX
FULL_TIME
-
About Accolade
Accolade (Nasdaq: ACCD) provides millions of people and their families with an exceptional healthcare experience that is personal, data driven and value based to help every person live their healthiest life. Accolade solutions combine virtual primary care, mental health support and expert medical opinion services with intelligent technology and best-in-class care navigation. Accolade’s Personalized Healthcare approach puts humanity back in healthcare by building relationships that connect people and their families to the right care at the right time to improve outcomes, lower costs and deliver consumer satisfaction. Accolade consistently receives consumer satisfaction ratings over 90%.Role overviewAs an Accolade Outreach Specialist, you will be a trusted go-to resource who helps get members engaged with Accolade and enrolled in targeted programs. You’ll have the opportunity to help members get the right care at the right time… no problem is too big or too small. A successful candidate will be effective at properly educating members on the benefits of Accolade services while delivering a high quality member experience.A day in the life…- Deliver effective and enthusiastic communication to encourage and motivate members to utilize Accolade’s services and be proactive about their health
- Collect pertinent history from our members and triage to the appropriate frontline care team member
- Provide concierge level service with every member we connect with and establish a successful rapport to instill trust in our team
- Proactively communicate the benefits and the value of our service with every member contact
- Independently manages task load to support outbound and inbound interactions to and from our members on a daily basis
- Meet personal/team qualitative and quantitative targets.
This is a full-time positionWhat we are looking for...High School Diploma or equivalent- 1 years employment experience in the customer service industry, the service industry, administration, or reception
- Excellent written and verbal communication skills with proven ability to communicate with individuals at various levels within the organization
- Ability to thrive in a performance based environment Demonstrate high level of personal accountability
- Commitment to quality and continuous improvement
- Ability to perform well under pressure, adapt to change, and meet deadlines in a fast-paced, dynamic, evolving environment
- Ability to independently manage one’s own workload to meet the demands of the business Operate from a perspective of truly caring about our clients and creating value for them
- Change champion and adapt to change quickly Detail-oriented, inquisitive, problem-solving in nature
- Proven ability to roll up your sleeves and make a contribution quickly
- Thrive in a team environment. A team player capable of collaborating with individuals throughout the organization
Salary- $19.50Benefits- Comprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.
- HDHP medical plan with generous employer contributions towards an HSA
- 401(k) Retirement Plan with matching employer contributions
- Paid Time Off
- Generous Holiday Schedule 5 floating holidays
- 18 weeks of paid parental leave
- Subsidized commuter benefits programs
- Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger
- 1 Volunteer days per year
- Employee Stock Purchase Plan (ESPP) w/ employee discount
Our people are the Heart of AccoladeTogether, we are building a great and enduring business that truly makes an impact. At Accolade, we are committed to building a workplace where all can grow and thrive. We do this by living our core values:Member ObsessedFor everything we do, we ask ourselves: Is this going to make our member’s life measurably better?Be FearlessWe think differently. We do what’s never been done. We are reinventing healthcare every step of the way.Stronger TogetherWe honor the differences among one another and know that our unique perspectives drive us forward.Genuine CareWe care deeply about the human beings we work with and serve. We have each other’s back.Embrace RealityWe bring the data, tell the truth, and trust each other.Relentless ExecutionWe operate with a bias for action. Take initiative, move fast & have fun.Accolade is committed to being a company that embraces a hybrid work environment where employees can enjoy the best of both worlds - the flexibility to work from home and the opportunity to have a common place to connect, collaborate, and innovate with others in-person. Our hybrid work model requires that employees who live within 40 miles of an Accolade office are required to be in the office for at least two days during the work week. Accolade will provide reasonable accommodation to qualified employees with disabilities or for a sincerely held religious belief.Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees. We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US. We are committed to help ensure you have a comfortable and positive interview experience.Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission atReportFraud.ftc.gov. You can also report it to your state attorney general.
To review our policy around data use, visit ourAccolade Privacy Policy Page. All your information will be kept confidential according to EEO guidelines.2nd.MD - 1 Month Ago
Networking Specialist
- Legacy Financial Group, LLC
-
El Paso, TX
FULL_TIME
- Benefits:Flexible scheduleOpportunity for advancementPaid time offProfit sharingTraining & development We are seeking a highly motivated individual with a background in Networking, Customer Service, a...
- 1 Month Ago
HEDIS Specialist
- Integrated Resources INC
-
El Paso, TX
FULL_TIME
- Company DescriptionIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business m...
- 18 Days Ago
Electrical Specialist
- Kinetik
-
Pecos, TX
FULL_TIME
- Essential Duties and Responsibilities: The Electrical Specialist is responsible for being the primary subject matter expert for the electrical power systems. This person will be responsible for mainta...
- 19 Days Ago
Merchandiser Specialist
- PRE-US
-
Pecos, TX
FULL_TIME
- As a Premium Merchandiser Specialist, you'll represent hundreds of brands across several retail locations. You will work with a diverse set of products including Magazines, Grocery items, Sunglasses, ...
- 22 Days Ago
Administrative Specialist
- City of El Paso
-
El Paso, TX
OTHER
- Education and Experience: NoneLicenses and Certificates: None Under immediate supervision, perform a variety of general clerical tasks and functions. Assist with the preparation of routine documents a...
- 25 Days Ago
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0 Appeal Resolution Specialist jobs found in El Paso, TX area
Metro by T-Mobile Mobile Expert Sales Rep
- 786 EL PASO LLC
-
El Paso, TX
- Job Description Job Description Responsibilities: • Be at the forefront of selling wireless phones, services, and access...
- 1/18/2025 12:00:00 AM
Metro by T-Mobile Mobile Expert Sales Rep
- 786 EL PASO LLC
-
Fabens, TX
- Job Description Job Description Responsibilities: • Be at the forefront of selling wireless phones, services, and access...
- 1/18/2025 12:00:00 AM
Placement Specialist
- El Paso Staffing Services
-
El Paso, TX
- Job Description Job Description The Placement Consultant will serve as a liaison between job seekers and hiring employer...
- 1/17/2025 12:00:00 AM
Remote Digital Marketing & Social Media Expert
- Confidential Job
-
El Paso, TX
- What we are looking for: We’re looking for a talented Digital Marketing Social Media Expert to join our team. If you exc...
- 1/16/2025 12:00:00 AM
Client Retention Specialist
- Farpon Auto Insurance Agency Inc
-
El Paso, TX
- Job Description Job Description to follow up with our clients to keep their policies in force, to do Underwriting and ta...
- 1/16/2025 12:00:00 AM
Client Support Specialist Call Center Agent - No C2C
- Matlen Silver
-
El Paso, TX
- Client Support Specialist / Call Center Agent ***This is NOT a desktop, hardware support role Contract Type (Contract or...
- 1/15/2025 12:00:00 AM
Inventory Specialist
- SPS Employer Risk Management LLC
-
El Paso, TX
- Job Description Job Description **PLEASE APPLY IN-PERSON FOR GREATER CAREER OPPORTUNITIES** JOB INFORMATION Full-time $1...
- 1/15/2025 12:00:00 AM
To-Go Specialist
- Cracker Barrel Old Country Store
-
El Paso, TX
- WHY CRACKER BARREL What is it like to work at Cracker Barrel? It feels like … Care beyond the table – At Cracker Barrel,...
- 6/22/2024 12:00:00 AM
About El Paso, Texas
El Paso is located at the intersection of three states (Texas, New Mexico, and Chihuahua) and two countries (the U.S. and Mexico). It is the only major Texas city on Mountain Time. Ciudad Juarez used to be on Central Time, but both cities are now on Mountain Time.
El Paso is closer to the capital cities of four other states - Phoenix, Arizona (345 miles away); Santa Fe, New Mexico, (273 miles away); Ciudad Chihuahua, Chihuahua, (218 miles away), and Hermosillo, Sonora (325 miles away) - than it is to the capital of its own state, Austin (528 miles away). It is closer to Los Angeles, California...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$42,445 to $52,576
El Paso, Texas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does an Appeal Resolution Specialist do?
Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020