Appeal Resolution Manager jobs in Medford, OR

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)

M
Credit Resolution Specialist (Must live in WA, OR or ID)
  • MultiCare Health System
  • Myrtle Point, OR FULL_TIME
  • You Belong Here.

    At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.


    FTE:
    1.0, Shift: Days, Schedule: Mon-Fri 7:00a - 3:30p

    NOTE: This position will work remotely but the primary residence must be within the State of Washington, Oregon or Idaho.

    Position Summary

    The Credit Resolution Specialist researches billing and payment posting issues initiated by patients, insurance carriers or others and notifies customers of findings in accordance with department policies and procedures. The incumbent corrects payment postings; adjusts accounts; processes refunds and contractual adjustments; balances reports and documents findings.

    Requirements

    • Two (2) years post high school education preferred
    • Minimum two (2) years of work experience in insurance billing/accounts payable/accounting or patient access, in a healthcare environment required

    Our Values

    As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

    Why MultiCare?

    • Belonging: We work to create a true sense of belonging for all our caregivers
    • Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
    • Market leadership: Washington state's largest community-based, locally governed health system
    • Employee-centric: Named Forbes “America’s Best Employers by State” in 2023
    • Technology: "Most Wired" health care system 15 years in a row
    • Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
    • Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

    Pay and Benefit Expectations

    We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $20.28 - $29.17 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

    Associated benefit information can be viewed here.

  • 29 Days Ago

W
Assistant to General Manager, Office Manager, and Project Manager
  • WorkSource - not the employer.
  • Klamath Falls, OR FULL_TIME
  • Required:* Demonstrated skill reading, understanding and interpreting blueprints and specifications* Stand for long periods, walk across rough terrain, climb ladders, reach, bend* Effectively communic...
  • 9 Days Ago

P
Team Manager
  • Panera Bread
  • Medford, OR FULL_TIME
  • Come Join Panera Bread- an award-winning leader in the restaurant industry and employer of choice for 2022! What's in it for you?A competitive hourly wage PLUS TIPS!A comprehensive benefit package inc...
  • 14 Days Ago

S
General Manager
  • Steve DeClerck Enterprises
  • White, OR FULL_TIME
  • Burger King General ManagerAs a Restaurant General Manager, you are key to our business. You are responsible in managing your team along with operational and financial objectives. You will achieve sal...
  • 16 Days Ago

A
Sales Manager
  • Aaron's Family of Companies
  • Medford, OR OTHER
  • Sales Manager Sales Managers Grow Our Business You’ll never be bored in this role – and that’s a good thing! As a Sales Manager on our team, you are crucial to the customer service experience in our s...
  • 16 Days Ago

T
Farm Manager
  • Troon Vineyard
  • Grants Pass, OR FULL_TIME
  • Job Duties & Responsibilities: Assist Troon’s director of agriculture with the daily coordination of a ~10-person field crew and the integration of vineyard management services. Responsible for ensuri...
  • 16 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Appeal Resolution Manager jobs found in Medford, OR area

W
Shipping Associate
  • Walmart
  • Medford, OR
  • **Job Summary:** As a Shipping Associate at Walmart, you will be responsible for efficiently and accurately preparing me...
  • 4/24/2024 12:00:00 AM

W
Retail Grocery Supervisor - Inventory
  • WIS Inventory Solutions
  • Phoenix, OR
  • Job Posting: Retail Grocery Supervisor - Inventory Starting Wage From: $21.00 - $24.00 Part Time: Paid hours depend on y...
  • 4/24/2024 12:00:00 AM

A
Customer Service Coordinator
  • Alsco External
  • Medford, OR
  • Classification: Non-Exempt We are Alsco Uniforms. We've been working hard for our customers since 1889 when we invented ...
  • 4/22/2024 12:00:00 AM

P
Customer Service Representative - Float
  • People's Bank of Commerce
  • Medford, OR
  • Job Type Full-time Description Established in 1998 in Medford, Oregon, People's Bank of Commerce was formed to provide a...
  • 4/22/2024 12:00:00 AM

P
Quality Assurance Assistant- Jackson County
  • Premier Community Supports
  • Medford, OR
  • Job Type Full-time Description Premier Community Supports is now hiring a Quality Assurance Assistant! About Premier Pre...
  • 4/22/2024 12:00:00 AM

T
Sales Operations Specialist-Medford, OR
  • Tekmanagement Inc.
  • Medford, OR
  • Job Description Job Description Tekmanagement, Inc has been locally owned and operated in the Rogue Valley for 40+ years...
  • 4/21/2024 12:00:00 AM

W
Restaurant Manager>
  • Wayback Burgers
  • Medford, OR
  • Wayback Burgers - 1251 East Mcandrews Road - [Kitchen Manager / Shift Manager] - As a Restaurant Manager at Wayback Burg...
  • 4/20/2024 12:00:00 AM

S
FT Customer Support Specialist - Work From Home>
  • Stronghold
  • Medford, OR
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Competitive Pay / Email Only - As a Customer Support Specialist y...
  • 4/20/2024 12:00:00 AM

Medford is located approximately 27 miles (43 km) north of the northern California border at 42.3°N. According to the United States Census Bureau, the city has a total area of 25.74 square miles (66.67 km2), of which, 25.73 square miles (66.64 km2) is land and 0.01 square miles (0.03 km2) is water. The Pacific Ocean is about 75 miles (121 km) west of the city, and is the nearest coast. The nearest river is the Rogue River (8 mi or 13 km), and the nearest lake is Agate Lake (13 mi or 21 km). Nearby cities include Grants Pass, Klamath Falls, Ashland, Roseburg, Redding (California), and Crescent ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$93,275 to $121,223
Medford, Oregon area prices
were up 2.5% 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.
January 16, 2020