Appeal Resolution Specialist jobs in Moline, IL

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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Specialist
  • OSF Healthcare
  • Kewanee, IL FULL_TIME
  • Overview

    Expected pay for this position is $37.99 - $44.70 / hour. Actual pay will be determined by experience, skills and internal equity.

    POSITION SUMMARY : The Performance Improvement Specialist is responsible for supporting the management of multiple Performance Improvement projects from original concept through design and implementation, which are strategically focused and drive performance and financial results.

    Responsible for completing workflow and application design, completing business assessments, developing and managing detailed project work plans, and implementing solutions for projects involving Performance Improvement activities.

    Qualifications

    REQUIRED QUALIFICATIONS :

    Bachelor's Degree (BA or BS) with emphasis in Clinical, Business or Health Administration OR equivalent experience of at least 3 years in healthcare delivery and management, business or consulting* Experience with performance improvement methodologies and tools and / or project management

    PREFERRED QUALIFICATIONS :

    Experience in health care delivery* Experience in roles where key skills of critical thinking, problem solving, collaboration, relationship building and public speaking were needed

    OSF HealthCare is an Equal Opportunity Employer.

    Last updated : 2024-04-08

  • 15 Days Ago

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Billing Specialist
  • UnityPoint Health
  • Bettendorf, IA OTHER
  • OverviewUnityPoint ClinicBilling SpecialistBettendorf, IAFamily Care PartnersMonday-Friday 8AM-5PMFull-time benefits *Medical Billing and Coding Experience/Education desired!ResponsibilitiesThe Billin...
  • 17 Days Ago

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Reading Specialist
  • Pleasant Valley CSD
  • Bettendorf, IA FULL_TIME
  • We have the following opening for the 2024-2025 school year: FOREST GROVE ELEMENTARY Reading Specialist Must have a Masters Degree in Reading Must hold a valid Iowa teaching license including the K-8 ...
  • 18 Days Ago

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Scheduling Specialist
  • Caravel Autism Health
  • Bettendorf, IA FULL_TIME
  • The Scheduling Specialist serves as the face of their clinic for clients and their families and supports the clinical team by flexibly serving multiple functions at the clinic. They are responsible fo...
  • 18 Days Ago

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Experience Specialist
  • UnityPoint Health
  • Bettendorf, IA OTHER
  • OverviewUnityPoint HealthExperience Specialist/ReceptionistBettendorf, IAFamily Care PartnersMonday-Friday 8:30AM-5:30PMFull-time benefits As an Experience Specialist/Receptionist, you are the first p...
  • 21 Days Ago

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Service Specialist
  • First MainStreet Insurance, L.C.
  • Clinton, IA FULL_TIME
  • DescriptionPOSITION TITLE: Service Specialist DATE: January 2024REPORTS TO: Operations Department CLASSIFICATION: Non-exempt EEO CLASSIFICATION: AdministrativePOSITION SUMMARY:A Service Specialist is ...
  • 21 Days Ago

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0 Appeal Resolution Specialist jobs found in Moline, IL area

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Operations and Information Specialist, Subject Matter Expert (SME)
  • Govcio LLC
  • Rock Island, IL
  • Overview: GovCIO is currently hiring for an Operations & Information Specialist, Subject Matter Expert to provide suppor...
  • 4/25/2024 12:00:00 AM

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Senior Logistic Management Specialist
  • Govcio LLC
  • Rock Island, IL
  • Overview: GovCIO is currently hiring for Senior Logistics Management Specialist (Maintenance) to provide support at Rock...
  • 4/25/2024 12:00:00 AM

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Technical Analysis Specialist
  • Govcio LLC
  • Rock Island, IL
  • Overview: GovCIO is currently hiring for a Technical Analysis Specialist to provide support at Rock Island, IL. Responsi...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Davenport, 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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Integration Specialist
  • Arconic
  • Davenport, IA
  • Arconic is seeking an Application Support Lead located in Davenport, Iowa to support the overall business strategy by de...
  • 4/23/2024 12:00:00 AM

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Digital Product Expert
  • Kelly Science, Engineering, Technology & Telecom
  • Milan, IL
  • Job Title: User Experience Researcher (Digital Product Expert, Order Management) Pay rate: $44- $49 per hour Duration: 0...
  • 4/21/2024 12:00:00 AM

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Integration Specialist
  • Arconic
  • Davenport, IA
  • Arconic is seeking an Application Support Lead located in Davenport, Iowa to support the overall business strategy by de...
  • 4/20/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm
  • Moline, IL
  • Is your current job a nightmare? Make it a dream job at Mattress Firm®! Join Mattress Firm as a Sleep Expert® and have t...
  • 4/16/2024 12:00:00 AM

Moline (/moʊˈliːn/ moh-LEEN) is a city located in Rock Island County, Illinois, United States. With a population of 43,977 in 2010, it is the largest city in Rock Island County. Moline is one of the Quad Cities, along with neighboring East Moline and Rock Island in Illinois and the cities of Davenport and Bettendorf in Iowa. The Quad Cities have an estimated population of 381,342. The city is the ninth-most populated city in Illinois outside the Chicago Metropolitan Area. The corporate headquarters of Deere & Company is located in Moline, as was Montgomery Elevator, which was founded and head...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$44,619 to $55,275
Moline, Illinois 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