Appeal Resolution Specialist jobs in Fort Wayne, IN

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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CBO- Claims Resolution Specialist - Remote Possible
  • Lutheran Medical Group
  • FORT WAYNE, IN FULL_TIME
  • Summary: Your primary focus will be on following up with insurance companies, tracking claims, and ensuring that all outstanding payments are collected Additionally, you will interact with doctor's offices and other medical professionals to gather necessary documentation and resolve any billing or coding issues. In this position you will be an integral part of our Revenue Cycle team, directly impacting the entire organization by ensuring goals are met and assigned receivables are addressed appropriately.

     

    Qualifications:

    Required Education:   N/A

    Preferred Education:   High School Diploma or Equivalent 

                                             

    Required Experience:  N/A

    Preferred Experience: Minimum 1 years of experience in Professional Medical Claim Billing 

    Athena billing experience a plus

     

    Required License/Registration/Certification: N/A

    Preferred License/Registration/Certification: CPC or CBP

  • 1 Month Ago

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Window Installer-Conduct Service Calls
  • Home Specialist MV LLC
  • Fort Wayne, IN FULL_TIME
  • Company: Indiana's Fastest Growing Home Improvement Company of it's kind. The leader in providing quality products needed to make homes beautiful, safe and energy efficient. Window Installer Service T...
  • Just Posted

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Scheduling Specialist
  • The Orthopedic Hospital of Indiana
  • Fort Wayne, IN FULL_TIME
  • Job Summary: Under the immediate direction of designated Surgery management, provides reception and secretarial support to the unit. Maintains surgical procedure data base, scheduling procedures for s...
  • 30 Days Ago

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Merchandiser Specialist
  • Acosta Group
  • Portland, IN FULL_TIME
  • **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** PORTLAND, Indiana, 47371 **Ref #:** 60878 **Function:** Merchandising **Employment Duration:** Part-time **Descrip...
  • 16 Days Ago

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Media specialist
  • Huntington University Foundation Incorporated
  • Huntington, IN FULL_TIME
  • for Huntington University’s use in marketing and internal and external communication.QUALIFICATIONSMust have a strong personal Christian commitment and faith in Jesus Christ and a desire to serve othe...
  • 16 Days Ago

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Activities Specialist
  • Byron Wellness Community
  • Fort Wayne, IN FULL_TIME
  • DescriptionWHO LOVES ROAD TRIPS? Do you want to make a difference in people’s lives? Are you the life of the party and enjoy participating in activities? If so, then we have the career for you!We have...
  • 18 Days Ago

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0 Appeal Resolution Specialist jobs found in Fort Wayne, IN area

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Field Application Specialist - HammerHead
  • The Toro Company
  • Fort Wayne, IN
  • Typical Starting Pay: $80,000-$105,000, plus bonuses. What Can We Give You? Medical, Dental, Vision, 401K Matching up to...
  • 4/24/2024 12:00:00 AM

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Alterations Specialist
  • David's Bridal, LLC.
  • Fort Wayne, IN
  • BEST. JOB. EVER! Minimal weekday hours required (join for weekends only!) Generous Team Member discount $400 bonus for e...
  • 4/24/2024 12:00:00 AM

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Collection Specialist
  • RNR Tire Express
  • Fort Wayne, IN
  • Job description The Assistant Collection position is a full-time opportunity offering a family atmosphere, great pay ($3...
  • 4/24/2024 12:00:00 AM

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Power BI Expert Consultant
  • Diverse Lynx
  • Warsaw, IN
  • Client: BirlaSoft Rate: $65/hr. Job Title: Power BI Expert Consultant Location: Warsaw, IN - USA (Remote) - Travel requi...
  • 4/22/2024 12:00:00 AM

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Brand Ambassador - Events Marketing
  • Bath Experts
  • Fort Wayne, IN
  • At Bath Experts, our Brand Ambassadors are provided with the chance to take the first step in their sales career, develo...
  • 4/22/2024 12:00:00 AM

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Team Member-Franchise - 9067 - Coldwater Rd-Ft Wayne, IN (Fort Wayne, IN)
  • Checkers Drive-In Restaurants, Inc.
  • Fort Wayne, IN
  • The Team Member delivers over the top guest experience while working in a variety of roles within the restaurant. Whethe...
  • 4/22/2024 12:00:00 AM

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311 Specialist
  • City of Fort Wayne
  • Fort Wayne, IN
  • Job Description: SUMMARY Working under the direction of the 311 Manager, the incumbent receives all non-emergency calls ...
  • 4/22/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Fort Wayne, IN
  • **Job Description Summary** This position provides immediate support to the Assistant Manager of Quality in monitoring p...
  • 4/21/2024 12:00:00 AM

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$44,476 to $55,097
Fort Wayne, Indiana area prices
were up 1.3% 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