Appeal Resolution Specialist jobs in Cedar Rapids, IA

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)

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Neurology Clinic - Clinic Services Specialist
  • Clinic Services Specialist - Jobs@UIOWA Careers
  • Iowa, IA FULL_TIME
  • The University of Iowa Hospitals and Clinics department of Neurology is seeking a Clinical Services Specialist to provide daily administrative, clinical, and operational support to the Neurology Ambulatory Clinic, as well as secondary support to other clinics within the Neurology Department as needed.
    The Clinic Services Specialist acts as a resource on patient/clinical workflow: such as informatics (EHR), patient appointment systems, care coordination, billing/compliance, and management of medical information for a clinic team. 
    Job Duties to Include:
    • Provide daily administrative, clinical, and operational support to the Department of Neurology
    • Coordinate clinical visits and procedures in a multidisciplinary environment.
    • Communicate with patients and external entities and manage the pre-visit activities by triaging patient inquiries.
    • Provide support to the clinical teams of these divisions on inpatient clinic days, including managing patient and faculty/staff schedules.
    • Conduct post visit activities. Follow up with referring providers and patients for the completion of medical forms and questionnaires.
    • Provide operational support to clinical teams of faculty and staff to assure division clinics are patient centric and flow without interruptions
    • Prepare and administer correspondence to patients about clinic visits and related clinical research.
    • Serve as the point of contact for all patients, faculty, and staff in the Neurology Clinics and communicate their needs to the clinical team. 
    • Communicate with other clinical sites both internally and externally.
    • Manage communications between clinical teams and the various research programs. Respond to request for information.
    • Gather medical information from patients and provide information using available resources.
    • Make decisions and exercise a high level of autonomy while performing responsibilities.
    • Develop and/or enhance the pre-visit, visit, and post-visit processes. 
    • Manage correspondence.
    • Access the needs of the patients and interpret how the clinic team can serve them efficiently and effectively to enhance the patient experience.
    • May provide functional and administrative supervision to undergraduate student assistants.
    • Coordinate inpatient schedule for Neurology Clinic
    • Other duties as assigned
    Percent of Time: 100%
    Schedule: Monday-Friday, no weekends or holidays.
    Pay Grade: 3A - https://hr.uiowa.edu/pay/guide-pay-plans
    Supervision: Supervision is received by the Clinical Services Coordinator and the Medical Director(s) of the Neurology Department.
    The University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives. ®
    REQUIRED QUALIFICATIONS
    • Bachelor's degree or an equivalent combination of education and experience.
    • Minimum 1-year experience working in a customer service field.
    • Experience in writing/developing correspondence with internal and external entities (e.g., patients, customers, vendors, etc.)
    • Previous experience which demonstrates proficiency in computer software applications (e.g., Microsoft Word, Excel, Outlook, etc.).
    • Demonstrated experience working independently with the ability to prioritize tasks in a fast-paced setting.
    • Excellent written and verbal communication skills. 
    DESIRED QUALIFICATIONS
    • Previous experience with EPIC/EHR.
    • Experience working in a medical/clinical setting.
    • Knowledge of clinical scheduling and coordination of patient activities.
    • Knowledge of University of Iowa policies and procedures
    • Knowledge of billing/compliances.
    Please attach a resume and cover letter as part of the application process. Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. 
    Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
    Up to 5 professional references will be requested at a later step in the recruitment process. For additional questions, please contact Erin Curry at 319-356-7355 or erin-curry@uiowa.edu.
    Additional Information
    Compensation
    Contact Information
  • 5 Days Ago

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Indexing Specialist
  • TEKsystems
  • Fairfield, IA FULL_TIME
  • Daily Duties:Will start with indexing and assisting with processing brokerage paperwork. Will need to learn specific requirements for Pershing, Fidelity, and National. This is a very details oriented ...
  • 16 Days Ago

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Concrete specialist
  • CertaPro Painters
  • Hiawatha, IA FULL_TIME
  • Do you want to work for a company that rewards you with the following Competitive Compensation $20-$25 per hour Weekly Pay Opportunities for growth-we will grow you in your role Quality equipment and ...
  • 16 Days Ago

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Broadband specialist
  • Mediacom
  • Rapids, IA FULL_TIME
  • Mediacom Broadband Specialist I Cedar Rapids , Iowa Apply Now Location Cedar Rapids, IA - (CC) CapitalWorking Hours Tuesday-Saturday 8am-5pm or Wednesday-Saturday 8am-7pmApply Now (https : / / phe. tb...
  • 16 Days Ago

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Broadband specialist
  • Mediacom
  • Decorah, IA FULL_TIME
  • Mediacom Broadband Specialist I Decorah , Iowa Apply Now Apply Now (https : / / phe.tbe.taleo.net / phe01 / ats / careers / v2 / applyRequisition?org MEDIACOMCC&cws 46&rid 17184)Position : Broadband S...
  • 16 Days Ago

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Training Specialist
  • New Leader Manufacturing
  • Rapids, IA FULL_TIME
  • The Training Specialist provides support, assists in the development of the curriculum, and creates engaging and effective learning experiences. This position will stay up to date with the latest trai...
  • 17 Days Ago

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0 Appeal Resolution Specialist jobs found in Cedar Rapids, IA area

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Annuity specialist
  • Kuvare Holdings
  • Cedar Rapids, IA
  • The Case Manager is responsible for managing the processing and administration of annuities. A Case Manager will deliver...
  • 4/24/2024 12:00:00 AM

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Peloton Expert Talent Community - Park Meadows Mall
  • Peloton
  • Lone Tree, IA
  • ABOUT THE ROLEThis is not an open job. Submitting an application allows your profile and resume to be reviewed by a Pelo...
  • 4/24/2024 12:00:00 AM

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Software Support Specialist
  • Johnson County (iowa)
  • Iowa City, IA
  • Software Support SpecialistSalary$68,500.83 - $97,902.70 AnnuallyLocationInformation Technology Johnson County Health an...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Iowa City, IA
  • 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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Payroll Specialist
  • Truenorth Companies
  • Cedar Rapids, IA
  • Do you love payroll?Are you extremely organized,timely, and inquisitive?TrueNorth Companies is looking for an experience...
  • 4/23/2024 12:00:00 AM

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Training Specialist
  • New Leader Manufacturing
  • Cedar Rapids, IA
  • Job Description Job Description The Training Specialist provides support, assists in the development of the curriculum, ...
  • 4/21/2024 12:00:00 AM

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Administrative Specialist
  • HR Green
  • Cedar Rapids, IA
  • Job Description Job Description Join our team! Our mission is BUILDING COMMUNITIES. IMPROVING LIVES. With a history span...
  • 4/21/2024 12:00:00 AM

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Billing Specialist
  • Four Oaks Family & Children Services
  • Cedar Rapids, IA
  • Job Details Level Experienced Job Location US-IA-Cedar Rapids - Cedar Rapids, IA Position Type Full Time Education Level...
  • 4/21/2024 12:00:00 AM

The city is divided into four quadrants, used in addressing. 1st Avenue (U.S. Route 151 Business) divides the north and south sides of the city, and the Cedar River divides east and west. Mays Island, in the middle of the river, is the only area of the city where addresses have no quadrant. Areas outside the city limits that have a Cedar Rapids mailing address do not use the quadrants either. Except in the downtown area, 1st Avenue and the Cedar River tend to run diagonally instead of along the cardinal directions. Due to the curving of 1st Avenue, there are some areas in western Cedar Rapids ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$45,620 to $56,515
Cedar Rapids, Iowa area prices
were up 0.8% from a year ago

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