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 2024 Salary.com)
Overview
Claims Resolution Specialist
Starting at $17.50 per hour
On-Site
Hybrid Schedule Possible After 90 Day Probationary Period)
Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted.
We offer an exceptional employee experience, full-time hours, full benefits, paid training, and advancement opportunities.
Our team offers flexible, first shift, Monday through Friday schedules. This would include two fifteen minute breaks and one half-hour lunch.
We allow for casual work attire, jeans are our norm!
Responsibilities
Investigate and follow-up on all open balances for accounts that have received a payment or denial, or that are greater than 30 days from billing.
Contact responsible party to establish reason for non-payment document in system all verbal and written communication relative to open account balance, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment.
Qualifications
Required :
Preferred :
Additional Data
Your benefits as a Claims Resolution Specialist :
Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
Working Conditions / Physical Demands :
Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer.
Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.
Select Medical is an EOE
Last updated : 2024-04-24