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