Appeal Resolution Specialist jobs in Abilene, TX

Appeal Resolution Specialist logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Being an Appeal Resolution Specialist conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Additionally, Appeal Resolution Specialist typically reports to a supervisor. The Appeal Resolution Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be an Appeal Resolution Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

Recently Added Appeal Resolution Specialist jobs

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Clinical Appeal Coordinator
  • Hendrick Health
  • Abilene, TX FULL_TIME

  • JOB SUMMARY
    • The Clinical Appeal Coordinator will be responsible for reviewing, researching and appealing all Clinical Denials received for the organization. The Clinical Appeal Coordinator will need to conduct any training and education that is needed as a result of those denials. The Clinical Appeal Coordinator will work with Business Services, Health Information and Management as well as work with various departments on any clinical denials received.

    JOB REQUIREMENTS
    • Minimum Education
      • Graduate of Approved RN Program and/or Certified Coding Degree w/ experience
    • Minimum Work Experience
      • 3 years
    • Required Licenses/Certifications
      • Registered RN
    • Required Skills, Knowledge, and Abilities
      • Answer telephones
      • Balance figures
      • Compiles and analyze reports
      • Compose applicable policies and procedures
      • Compose letters/memorandums
      • Compose pertinent policies and procedures
      • Coordinate meetings
      • Develop and compile statistical data
      • Develop office procedures
      • Develop program indicators
      • Establish, chair and/or coordinate events
      • Generate reports
      • Maintain filing systems
      • Maintain logs
      • Maintain patient charts
      • Use computerized spreadsheets to conduct analysis
    • Designated Driver
      • No
    • OSHA Category
      • 3
  • 28 Days Ago
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To Go Specialist
  • Olive Garden
  • San Angelo, TX OTHER
  • For this position pay will be variable by location - See additional job details and benefits below.Our Winning Family Starts With You! Check out these great benefits!Flexible schedules to help you bal...
  • 18 Days Ago
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O
To Go Specialist
  • Olive Garden
  • Abilene, TX OTHER
  • For this position, pay will be variable by location - See additional job details and benefits below.Our Winning Family Starts With You! Check out these great benefits!Flexible schedules to help you ba...
  • 18 Days Ago
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D
INTELLIGENCE SPECIALIST
  • Department of the Air Force - Agency Wide
  • Goodfellow AFB, TX FULL_TIME
  • Click on "Learn more about this agency" button below for IMPORTANT additional information. The primary purpose of this position is to serve as course Subject Matter Expert (SME) Intelligence Specialis...
  • 21 Days Ago
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Collections Specialist
  • Gandy Ink
  • San Angelo, TX FULL_TIME
  • Description Work for one of the top Screen Printers in Texas!Benefits:We offer a great benefits package including Medical, Dental, Vision, Life, Short Term and Long Term Disability.Generous time off/v...
  • 22 Days Ago
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A
Facility Specialist
  • Abilene Goodwill Industries
  • Abilene, TX FULL_TIME
  • Responsible for providing support, aide, maintenance and preventive maintenance and preventive maintenance for electrical, plumbing, mechanical and related systems in all facilities. Familiar with and...
  • 22 Days Ago
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0 Appeal Resolution Specialist jobs found in Abilene, TX area

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Parts Specialist
  • O'Reilly Auto Parts
  • Abilene, TX
  • The Parts Specialist will provide all retail and installer customers with a high level of service. This position will al...
  • 4/26/2024 12:00:00 AM
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L
Environmental Health & Safety Specialist
  • Loram
  • Abilene, TX
  • Job Title: Environmental Health & Safety Specialist FLSA Status: Exempt Department: Environmental Health & Safety Report...
  • 4/26/2024 12:00:00 AM
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R
Product Delivery Specialist
  • Rent-A-Center
  • Abilene, TX
  • We are Hiring Immediately! It's Your Career. Own it! At Rent-A-Center, we believe in putting people in control of their ...
  • 4/24/2024 12:00:00 AM
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T
Field Application Specialist - HammerHead
  • The Toro Company
  • Abilene, TX
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/23/2024 12:00:00 AM
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Delivery Specialist
  • O'Reilly Auto Parts
  • Abilene, TX
  • The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional custom...
  • 4/23/2024 12:00:00 AM
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F
Client Service Specialist
  • Franklin Templeton
  • Stamford, TX
  • At Franklin Templeton, we're driving our industry forward by developing new and innovative ways to help our clients achi...
  • 4/23/2024 12:00:00 AM
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Retail Service Specialist
  • O'Reilly Auto Parts
  • Abilene, TX
  • The Retail Service Specialist will support the Store Manager and Assistant Managers in areas of sales, customer service,...
  • 4/22/2024 12:00:00 AM
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C
Orthopedic Sales Specialist - Animal Health (Securos) - Texas
  • Cencora
  • Winters, TX
  • Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
  • 3/27/2024 12:00:00 AM
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About Abilene, Texas

Abilene is located in northeastern Taylor County. The city limits extend north into Jones County. Interstate 20 leads east 149 miles (240 km) to Fort Worth and west 148 miles (238 km) to Midland. Three U.S. highways pass through the city. US 83 runs west of the city center, leading north 24 miles (39 km) to Anson and south 55 miles (89 km) to Ballinger. US 84 runs with US 83 through the southwest part of the city but leads southeast 52 miles (84 km) to Coleman and west with I-20 40 miles (64 km) to Sweetwater. US 277 follows US 83 around the northwest side of the city and north to Anson but he...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$42,617 to $52,794
Abilene, Texas area prices
were up 1.2% from a year ago
View detail

What does an Appeal Resolution Specialist do?

Appeal Resolution Specialist in Colorado Springs, CO
As a Appeals Resolution Specialist, you will work directly with our Shared Service Centerproviding follow up to denied claims.
February 22, 2020
Appeal Resolution Specialist in Fort Smith, AR
Overcome objections that prevent payment of the claim and gain commitment forpayment through concise and effective appeal argument.
February 01, 2020
Appeal Resolution Specialist in Middlesex, NJ
Coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions.
January 25, 2020