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)
Join the dynamic team at Richards Resolution, a premier consulting firm based in Albany, NY. We're passionate about empowering candidates and organizations to achieve their campaign goals and make a lasting impact in their communities. As a Campaign Specialist, you'll have the opportunity to harness your sales skills while contributing to meaningful campaigns and driving positive change.
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Why Join Richards Resolution?
Join our team at Richards Resolution and be part of a company committed to excellence in sales and customer service. With ample support, ongoing training, and access to diverse campaigns, you'll be equipped for success. Embrace the opportunity for professional growth, travel, and the chance to make a real impact through your sales efforts.
Job Type: Full-time
Pay: $45,000.00 - $52,000.00 per year
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Work Location: In person
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0 Appeal Resolution Manager jobs found in Albany, NY area