Appeal Resolution Manager jobs in Delaware

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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Resolution specialist
  • HBCS
  • Castle, DE FULL_TIME
  • As an A / R Support Specialist , you will research general financial inquiries and processes all inbound and outbound correspondence.

    You will also make updates to client systems with all necessary demographic, contract, and prelist related information.

    Responsibilities :

    • Conduct initial review at the account / patient level to identify or locate missing and misapplied payments, completing transactional requests as required.
    • Provides accurate review, interpretation, and disposition of all incoming correspondence via fax, mail, email or client portal.

    Updating mail return and demographic updates on FACS and the corresponding hospital systems.

    • Investigates and monitors all charity, bankruptcy, and deceased inventory as per client protocol.
    • Maintains and updates payment contracts on the client system.
    • Print and mail charity applications, itemized bills and any additional correspondence as required.
    • Work assigned inventory, work queues and reports on assigned product lines. Consistently meets internal and external deliverables with minimal involvement from management.
    • Ability to provide timely, professional and courteous response to inbound communications (via telephone, e-mail, portal etc.

    from patients, insurance carriers, internal or external clients regarding account status.

    Able to identify and locate patient, insurance carrier or other third party that is liable for payment of account and initiates contact (via telephone, internet, etc.

    to determine reason for non-payment, identify insurance options, and establish repayment arrangements.

    Qualifications :

    • 1-2 years of experience in a healthcare business office environment
    • Excellent verbal communication and negotiation skills with an emphasis on customer service
    • Excellent computer and multi-tasking skills
    • High school diploma or equivalent
    • Has the ability to productively work remotely, including :
    • Reliable and secure non-satellite-based internet connection (this will be tested prior to start date)
    • Dedicated quiet and private workspace

    Why you’ll want to join the HBCS team :

    We offer a competitive total compensation package comprised of a base salary range and incentive. This provides the opportunity for your compensation to grow as you develop within the role.

    The base salary range for this role is between $18 and $27 per hour, and is dependent upon your specific skills, qualifications, experience, and location.

    The opportunity for advancement is outstanding! We invest in our team members through training and development to help them reach their career goal and their full potential in the fastest growing career industry Healthcare!

    PLUS

    • Medical, Dental, Vision and Life Insurance
    • 401(k) with Substantial Company Match
    • Ability to work from home
    • Tuition Reimbursement
    • Generous Paid Time Off and Paid Company Holidays
    • Work / Life Balance : Morning and Evening Shifts available
    • Employee Assistance Program

    Who we are :

    HBCS is a leader in healthcare receivables management, providing electronic billing, insurance follow-up, and self-pay recovery services to hospitals and healthcare providers throughout the United States.

    Our success story is a product of our skilled and expertly trained staff, and their continuous commitment to demonstrating exceptional customer service while utilizing state-of-the-art technology.

    With headquarters in New Castle, Delaware and a remote workforce operating from home offices throughout the country, our skilled and dedicated team delivers quality, value-added services to ensure that the goodwill established between our partner hospitals and health systems and their patients remains steadfast.

    HBCS is an Equal Opportunity Employer. We are proud that we have always been committed to diversity in the workplace and to offering employment opportunities without regard to race, color, religion, sex (including pregnancy), gender identity, gender expression, national origin, age, military experience (active, veterans, reservists and National Guard), genetic information, disability, or other legally protected characteristics.

    Last updated : 2024-05-02

  • 20 Days Ago

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Associate Director, HCP Marketing – Inhaled Respiratory
  • 10000138 - Brand Manager
  • Wilmington, DE FULL_TIME
  • Are you ready to make a significant impact on patient lives? AstraZeneca is seeking an Associate Marketing Director for our Inhaled Respiratory division within the Biopharmaceuticals Business Unit. Th...
  • 8 Days Ago

1
Associate Director, HCP Marketing – Immunology
  • 10000138 - Brand Manager
  • Wilmington, DE FULL_TIME
  • Join AstraZeneca, where we turn ideas into life-changing medicines. We are seeking an entrepreneurial, big-thinking Associate Director for HCP Marketing in our Biopharmaceuticals Business Unit. This r...
  • 20 Days Ago

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Director of Clinical Services
  • BL Manager, LLC
  • Selbyville, DE FULL_TIME
  • Retirement Unlimited is seeking a Director of Clinical Services to join the team! The comfort and care of our residents is our highest priority. As the Director of Clinical Services, you will be respo...
  • 26 Days Ago

5
Medical Science Liaison, MA, RI - GI
  • 50201106 - Oncology Medical Liaison Manager
  • Wilmington, DE FULL_TIME
  • Location: MA, RI, USADo you have expertise in, and passion for Medical Affairs in Oncology? AstraZeneca’s vision in Oncology is to help patients by redefining the cancer-treatment paradigm with the bo...
  • 12 Days Ago

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Patient Resolution Specialist
  • HBCS
  • Castle, DE FULL_TIME
  • Do you pride yourself on solving problems, finding solutions, and taking care of others? Are you attentive to customers and take time to really listen to their needs? If you share our passion for supe...
  • 18 Days Ago

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Transportation Attorney
  • Elite Forces LLC
  • Rancho Cucamonga, CA
  • Our client prides themsleves on delivering excellence in transportation and logistics services. With a robust fleet and ...
  • 6/10/2024 12:00:00 AM

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Head of Legal
  • Raydar
  • Hybrid - New York City Our client, a Series A Health IT/SaaS platform, is revolutionizing the healthcare industry throug...
  • 6/10/2024 12:00:00 AM

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Resolution Manager
  • Gallagher
  • Mechanicsburg, PA
  • About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
  • 6/9/2024 12:00:00 AM

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Paralegal
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Paralegal Prinston Pharmaceutical Inc. About Us: Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical comp...
  • 6/9/2024 12:00:00 AM

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General Counsel
  • Gotham Technology Group
  • Montvale, NJ
  • We are a privately held technology consulting firm with 20+ years of solid performance and growth. We service corporate ...
  • 6/9/2024 12:00:00 AM

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Baking Assistant (Part Time / As Need)
  • Resolute Management Group LLC
  • Hyattsville, MD
  • Sweet Almond, a premier French macaron shop is currently seeking a talented and dedicated PRN Baking Assistant to join o...
  • 6/8/2024 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...
  • 6/7/2024 12:00:00 AM

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Senior Litigation Attorney
  • TAULER SMITH
  • Los Angeles, CA
  • Tauler Smith LLP is a small litigation firm specializing in privacy, consumer rights, and class action cases. We are cur...
  • 6/7/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$95,432 to $124,026

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