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)
Ground Penetrating Radar Systems is the nation's largest company specializing in the detection of underground utilities, video pipe inspection, and the scanning of concrete structures. GPRS has an extensive nationwide network of highly trained and experienced Project Managers in every major U.S. market. When clients hire GPRS, they have the peace of mind of knowing that they have the most reliable scanning technology on their job site and they'll receive the assistance of a Project Manager who can provide them with the most accurate data. For over two decades, GPRS has been the industry leader by providing outstanding service and cutting edge technology, Intelligently Visualizing The Built World by keeping projects on time, reducing safety risks, and putting our relationships with our clients before profit.
Job Summary:
The Account Resolution Specialist is responsible for collecting payment on every open invoice that is 60 days old. A Specialist works closely with Customers and our Field / Sales / Billing / Compliance / AR / Customer Service Teams to resolve disputes, discrepancies, & delinquencies which results in either payment, write offs or collections (third party collections agency). Through teamwork, research, critical thinking, persistence, professionalism and effective communication, the Specialist resolves outstanding accounts, creates awareness of current issues that need improvement, and discerns & reports concerning accounts.
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We offer full medical, dental, and vision insurance with day-one coverage, 401k with company matching beginning on day one, Life, Short-Term, and Long-Term Disability at no cost to our employees, paid holidays, paid time off, leadership development training programs and additional benefits to support our strong commitment to the development of each team member.
GPRS is an Equal Opportunity employer
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