Appeal Resolution Manager jobs in Lawton, OK

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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Denials and Resolution Analyst - MedAccounts
  • Comanche County Hospital Authority
  • Lawton, OK FULL_TIME
  • DEFINITION: 

    Denials and Resolution Analyst is under the supervision of one of the MedAccounts Service Supervisors.  The Denials and Resolution Analyst is responsible for follow-up and monitoring under-payments from Third party payers. Responsible for data collection and analysis regarding specific Provider and/Facility Inquiries, Disputes and/or Appeals.  Develops necessary policies and procedures and oversees quality assurance measures related to Provider and Hospital Disputes.

    PREFERRED QUALIFICATIONS:

    Must have good organizational skills, reading, writing and proven communication skills.

    Proficient in Excel.

    Must have 2 years of general medical office experience.

    Prefer 2 year of hospital/medical office billing and collections or can demonstrate an understanding of hospital/physician billing and collections.

    College degree preferred.

    High School Graduate with excellent organizational skills, ability to work independently and stay on task,

    Ability to learn and understand billing protocol and reimbursement issues, ability to maintain accurate and detailed charts/notes in the company system.

    2 years formal education in business or equivalent experience. 

    Must have at least 2 years of a Medical Office/Hospital billing setting.

     

     

     
  • 25 Days Ago

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Manager
  • Rib Crib BBQ, Inc.
  • Lawton, OK FULL_TIME
  • DescriptionGeneral Summary: Supports the General manager by providing direction and support to hourly employees within franchised or corporate establishments by either performing or supervising the fo...
  • 21 Days Ago

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Manager
  • Rib Crib BBQ, Inc.
  • Ardmore, OK FULL_TIME
  • DescriptionGeneral Summary: Supports the General manager by providing direction and support to hourly employees within franchised or corporate establishments by either performing or supervising the fo...
  • 21 Days Ago

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Manager
  • Rib Crib BBQ, Inc.
  • Duncan, OK FULL_TIME
  • DescriptionGeneral Summary: Supports the General manager by providing direction and support to hourly employees within franchised or corporate establishments by either performing or supervising the fo...
  • 21 Days Ago

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Manager
  • Hutchinson Oil | Hutch's C-Stores
  • Anadarko, OK FULL_TIME
  • Hutch's General Manager Essential Duties and Responsibilities include the following. Other duties may be assigned to meet business need Educate & Develop Actively recruit all Store Personnel Educate a...
  • 9 Days Ago

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Manager
  • Hutch's C-Stores
  • Anadarko, OK FULL_TIME
  • Hutch's General ManagerEssential Duties and Responsibilities include the following. Other duties may be assigned to meet business needEducate & DevelopActively recruit all Store PersonnelEducate and d...
  • 11 Days Ago

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0 Appeal Resolution Manager jobs found in Lawton, OK area

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MIT
  • City National Bank & Trust
  • Lawton, OK
  • City National Bank and Trust Position: Manager in Training Department: Retail Status: Full time Description: The Manager...
  • 4/26/2024 12:00:00 AM

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Production Supervisor - Paint Line
  • Koch Industries
  • Fletcher, OK
  • Your Job Do you aspire to leverage and further develop your skills and lead a team to excellence in safety, efficiency, ...
  • 4/25/2024 12:00:00 AM

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Forklift Operator
  • Walmart
  • Lawton, OK
  • **Job Summary:** As a Forklift Operator at Walmart, you will be responsible for safely and efficiently operating forklif...
  • 4/24/2024 12:00:00 AM

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Order Picker
  • Walmart
  • Lawton, OK
  • **Job Summary:** As an Order Picker at Walmart, you will be responsible for accurately and efficiently selecting merchan...
  • 4/24/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Lawton, OK
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - PSYCH - $1,963 PER WEEK IN LAWTON, OK
  • Infojini Healthcare
  • Lawton, OK
  • ID: 48708337 Shift: 7p-7a Description: and implement total nursing care for patients by assessment, nursing diagnosis, p...
  • 4/24/2024 12:00:00 AM

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Maintenance Supervisor - Fletcher
  • Koch Industries
  • Fletcher, OK
  • Your Job Georgia-Pacific is seeking a Maintenance Supervisor for our Gypsum Plant in Fletcher, OK. The Maintenance Super...
  • 4/24/2024 12:00:00 AM

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Forklift Operator
  • Walmart
  • Duncan, OK
  • **Job Summary:** As a Forklift Operator at Walmart, you will be responsible for safely and efficiently operating forklif...
  • 4/24/2024 12:00:00 AM

Lawton is the fifth largest city in Oklahoma, located at 34°36′16″N 98°23′45″W / 34.60444°N 98.39583°W / 34.60444; -98.39583 (34.604444 N, 98.395833 W). The city has a total area of 75.1 sq mi (195 km2), all land. Lawton is located approximately 84 mi (135 km) southwest of Oklahoma City. Other surrounding cities include Wichita Falls about 47 mi (76 km) to the south, Duncan about 33 mi (53 km) to the east, and Altus about 56 mi (90 km) to the west. Lawton lies in an area typical of the Great Plains, with prairie, few trees, and flat topography with gently rolling hills. The region north of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$79,616 to $103,471
Lawton, Oklahoma area prices
were up 1.2% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
December 03, 2019
Appeal Resolution Manager in Lancaster, PA
All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
February 06, 2020
Appeal Resolution Manager in San Diego, CA
The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
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