Appeal Resolution Specialist jobs in Delaware

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)

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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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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...
  • 19 Days Ago

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Senior Financial Analyst, CVRM
  • 10001188 - Accountancy Specialist
  • Wilmington, DE FULL_TIME
  • As the Senior Financial Analyst for CVRM, you will support therapeutic area Sales, Marketing and Medical teams by providing financial guidance and insights. This role offers the opportunity to build r...
  • 16 Days Ago

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Ophthalmic Technician
  • Omni Eye Specialist Pa
  • Wilmington, DE FULL_TIME
  • ** Regular travel to satellite locations is required ** ESSENTIAL JOB DUTIES: Greets patients and visitors in a prompt, courteous and helpful manner. Obtains patient history and transcribes results in...
  • 18 Days Ago

5
Clinical Research Associate
  • 50056678 - Senior Specialist Study Management
  • Wilmington, DE FULL_TIME
  • Job Title: Clinical Research AssociateAt AstraZeneca we work together across global boundaries to make an impact and find answers to challenges. We do this with the utmost integrity even in the most d...
  • 2 Days Ago

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Specialist
  • Hubstaff
  • Dover, DE FULL_TIME
  • Role : IBMi Specialist Contract : Full-time Remote Contractor (160 hours monthly) Business Hours : Monday to Friday from 2 PM EST to 11 PM EST. On-Call shifts once every 3-4 weeks. Rate : $1,000 - $1,...
  • Just Posted

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Subject Matter Expert
  • Bering Straits Native Corporation
  • Lexington, KY
  • Overview Visit our website at www.beringstraits.com to apply! SUMMARY Arcticom, LLC, a subsidiary of Bering Straits Nati...
  • 6/11/2024 12:00:00 AM

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IT Subject Matter Expert
  • Contact Government Services, LLC
  • Hollywood, FL
  • IT Subject Matter Expert Employment Type: Full Time, Experienced level Department: Information Technology As an IT Subje...
  • 6/11/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Montpelier, VT
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Tallahassee, FL
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Columbia, SC
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Trenton, NJ
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Dover, DE
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • Zobility
  • Troy, MI
  • Job Description Job Description Job Description Client Professional Services (CPS) is looking for a Subject Matter Exper...
  • 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 Specialist jobs
$48,627 to $60,237

Appeal Resolution Specialist in Tallahassee, FL
Are you interested in a position that supports the federal judiciary's mission of ensuring equal justice under the law? Come join our talented and diverse team at the Court of Appeals! About the Court The United States Court of Appeals for the 9th.
December 31, 2019
Appeal Resolution Specialist in Monterey, CA
SummaryThe Appeals Manager Owns the output of a single work area within Appeals and typically manages a team of Appeals job family roles.
December 28, 2019
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