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)
JOB DESCRIPTION :
Delivers remote patient monitoring and tele-health solutions for healthcare providers throughout the US. Our patient engagement software and services enable physicians to monitor and manage their patients' chronic conditions between office visits without investing in additional staff or money.
By combining state of the art technology with a long history of expertise in the healthcare industry, HCRS & MagnatelMD are transforming medical practices.
HCRS & MagnatelMD needs Medical Assistants to manage patients with chronic conditions by enrolling them in our remote patient monitoring program.
The device provided transmits their medical data remotely. As the Patient Care Assistant, you contact the patient regularly to review their medical data received.
JOB SKILLS :
Escalating trends of concern.
Additional ways to communicate to patient are available as well.
MINIMUM QUALIFICATIONS :
Last updated : 2024-04-07
Clear All
0 Appeal Resolution Manager jobs found in Pine Bluff, AR area