Appeal Resolution Specialist jobs in El Paso, 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)

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Bilingual Resolution Specialist II - El Paso, TX
  • Wal-mart - Sam'sClub.
  • El Paso, TX FULL_TIME
  • What you'll do
    • Requires knowledge of principles and techniques of customer communication. Application and allocation of business communication styles/techniques . Communication styles/norms through different interaction channels. To be able to listen to customers, understands, processes, and prioritizes customer needs, then provides solutions. Adapts listening and facilitation styles to customer communication styles. Owns customer and associate needs in the contact center. Uses various communication mediums. Analyzes customer issues to understand customer perspectives and communicates accordingly. Confirms customer understanding by restating customer concerns or problem statements.
    • Customer request process lifecycles. To be able to provide customer service by sharing accurate and timely information with customers, utilizing quality guidelines and resources, and partnering with stakeholders as needed.
    • Requires knowledge of problem-solving methodologies and tools. Precedence and use cases for business problems. Barriers to effective problem solving (for example, confirmation bias, mental set, functional fixedness, groupthink, paradigm blindness). Suggests multiple alternatives approaches/solutions for contact center issues based on internal and external benchmarking
    • Identifies root cause solutions contact issues by asking probing questions in order to understand the issue; documenting customer and associate concerns and feedback; researching issues; identifying and communicating data trends to multiple departments (for example, Merchandising, Operations, Public Relations); and implementing resolutions.
    • Supports and advises entry-level contact center resolution specialists by responding to escalated contacts; researching issues as necessary; and providing resolution.
    • Resolves complex contact issues for stores, associates, and high-impact customers by researching issues and resolution options; determining appropriate resolution; providing information to customers and associates; utilizing program quality guidelines and program resources; authorizing customer compensation to achieve customer satisfaction with issue resolution; and partnering with key stakeholders (for example, Walmart.com, Merchandising, Operations, Legal) as required to resolve issues.
    • Enhances engagement of and collects feedback from stores, associates, and high-impact customers by researching and resolving ongoing issues; following up with customers on issues; implementing resolutions; communicating final decisions and resolutions to customers; and gathering and recording customer satisfaction survey ratings.
    • Complies with company policies, procedures, and standards of ethics and integrity by implementing related action plans; using the Open Door Policy; and applying these in executing business processes and practices.
    • Completes work assignments and priorities by using policies, data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback.
    You will impress us if you have...
    • 6 months experience in de-escalating highly escalated and sensitive customer issues
    • Ability to multitask difficult situations
    • Technical capabilities/basic internet laptop troubleshooting
    • The ability to adapt to changes without notice
    • Open availability (Mornings, Mid, Evenings and Weekends) availability upon hire is a must
    • Fluent in Spanish
  • 2 Days Ago

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Counter-Threat Finance Analyst
  • Clear Resolution Consulting, LLC
  • El Paso, TX FULL_TIME
  • OPPORTUNITIES TO IGNITE YOUR PASSION, CRC services include Intelligence Analysis, Business Management, Cyber Operations, and Information Technology Consulting Services to the Department of Defense (Do...
  • 23 Days Ago

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Psychologists
  • Resolution Think LLC
  • El Paso, TX FULL_TIME
  • Resolution Think, LLC seeks certified Psychologists join our team. Mission requirements are to ensure Active Military, Reservist, ARNG, DA Civilians, and Contractor Personnel are medically validated f...
  • 7 Days Ago

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Athletic Trainer
  • Resolution Think LLC
  • Fort Bliss, TX FULL_TIME
  • Resolution Think, LLC is seeking full-time certified Athletic Trainers (AT) to join our team. The AT will optimize soldier readiness and the soldier's ability to perform warrior tasks and battle drill...
  • 8 Days Ago

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Physician Assistant
  • Resolution Think LLC
  • El Paso, TX FULL_TIME
  • Resolution Think, LLC seeks certified Physician Assistant to join our team. Mission requirements are to ensure Active Military, Reservist, ARNG, DA Civilians, and Contractor Personnel are medically va...
  • 8 Days Ago

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Audiologist
  • Resolution Think LLC
  • El Paso, TX FULL_TIME
  • Resolution Think, LLC seeks certified Audiologists to join our team. Mission requirements are to ensure Active Military, Reservist, ARNG, DA Civilians, and Contractor Personnel are medically validated...
  • 8 Days Ago

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0 Appeal Resolution Specialist jobs found in El Paso, TX area

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Ultrasound Tech Perinatal
  • El Paso Specialists
  • El Paso, TX
  • Description Introduction Do you have the career opportunities as a(an) Ultrasound Tech Perinatal you want with your curr...
  • 3/29/2024 12:00:00 AM

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Medical Billing Expert
  • Elwood Staffing
  • El Paso, TX
  • Medical Biller Are you experienced in Vascular medical billing? Leading vascular health center in east El Paso has a gre...
  • 3/28/2024 12:00:00 AM

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Healthcare Billing Specialist
  • Elwood Staffing
  • El Paso, TX
  • Medical Biller Are you experienced in Vascular medical billing? Leading vascular health center in east El Paso has a gre...
  • 3/28/2024 12:00:00 AM

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Medical Billing Specialist
  • Elwood Staffing
  • El Paso, TX
  • Medical Biller Are you experienced in Vascular medical billing? Leading vascular health center in east El Paso has a gre...
  • 3/28/2024 12:00:00 AM

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SPECIALIST
  • HCL Technologies
  • El Paso, TX
  • Job Description (Posting). DESK SIDE SERVICES / WINDOWS PC (1.) To provide support for on call escalations and doing roo...
  • 3/28/2024 12:00:00 AM

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Warehouse Quality Specialist
  • BD (Becton, Dickinson and Company)
  • El Paso, TX
  • **Job Description Summary** **Job Description** We are **the makers of possible** BD is one of the largest global medica...
  • 3/27/2024 12:00:00 AM

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To Go Specialist
  • Cheddar's
  • El Paso, TX
  • Our To Go Specialists are food experts who love to recommend their favs to guests who want to eat at home, work or anywh...
  • 3/26/2024 12:00:00 AM

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Customer Support Specialist - Work From Home>
  • Zip
  • El Paso, TX
  • [Customer Service / Fully Remote] - Anywhere in U.S. / Up to $75K per year / Full health, vision & dental / Apple equipm...
  • 3/24/2024 12:00:00 AM

El Paso is located at the intersection of three states (Texas, New Mexico, and Chihuahua) and two countries (the U.S. and Mexico). It is the only major Texas city on Mountain Time. Ciudad Juarez used to be on Central Time, but both cities are now on Mountain Time. El Paso is closer to the capital cities of four other states - Phoenix, Arizona (345 miles away); Santa Fe, New Mexico, (273 miles away); Ciudad Chihuahua, Chihuahua, (218 miles away), and Hermosillo, Sonora (325 miles away) - than it is to the capital of its own state, Austin (528 miles away). It is closer to Los Angeles, California...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$41,542 to $51,462
El Paso, Texas area prices
were up 1.2% 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