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)
$500 signing bonus! New hires will receive the signing bonus after working for 60 days.
Want to join a collaborative team and work with clients you'll love?
Full time, hybrid-work position: onsite 2 days/wk and work-from-home 3 days/wk. After 6 month review considerations for one day a week will be made.
Resolution Counseling Center is a growing private practice in Millburn. We serve adults, couples, and youth seeking therapy and support. Our staff are our greatest asset and we provide:
Job Requirements:
Preferential Consideration:
Compensation:
We take professional support seriously. We are proud of our staff, believe in the important work they do, and strive to create a happy professional home for our team. You'll have lots of chances to collaborate with your colleagues in staff meetings, group supervision, and in one-on-one meetings with your manager and clinical supervisor.
To apply: Please email Summer Brown, Site Director, with your resume and a brief email to introduce yourself. Contact her at summer @ resolutioncc.com. Put "job application" in the subject line.'
Work Location:
Work Remotely
Job Type: Full-time
Pay: $58,000.00 - $70,000.00 per year
Benefits:
Schedule:
Work setting:
Education:
Experience:
License/Certification:
Work Location: In person
Clear All
0 Appeal Resolution Manager jobs found in Newark, NJ area