Appeal Resolution Specialist jobs in New Brunswick, NJ

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)

R
Specialist
  • RWJBarnabas Health
  • NEW BRUNSWICK, NJ FULL_TIME
  • Job Overview:

    The Employee Resource Specialist is responsible for providing exceptional customer service to Mobile Health employees, stakeholders, vendors and communities we serve. Perform employee related duties as it relates to payroll, FMLA, scheduling, and a host of other employee related functions. Provide overall support to Mobile Health employees by following through on employee inquiries through initial request through resolution. The Employee Resource Specialist will report to the Employee Resource Manager.

    Qualifications: 

    Required:

    • Associate’s Degree in Psychology or related field
    • 2 years’ business related experience or equivalent experience

    Preferred:

    • Bachelor’s Degree in Business or Related Field
    • 2 years of employee relations / or customer service experience

    Scheduling Requirements:

    • Full-Time, Days
    • 40 hours per week

    Essential Functions:

    • Consistently demonstrate and support Mobile Health’s mission, vision, core values and department customer service standards
    • Respond and serve as the point of contact for all employee related inquiries; including but not limited to Payroll, FMLA, PTO , tuition reimbursement and expense reimbursement inquiries and respond in a timely manner
    • Participate in employee engagement initiatives, including compiling data and discussing trends and concerns with management
    • Ensure tracking compliance and maintain reporting for all new hire licensure and certifications
    • Assist the Employee Resource team with special projects, scheduling and identifying ways to improve processes and procedures
    • Maintain reports surrounding all employee specific compliance requirements and any subsequent tracking if needed
    • Assist with the preparation and submission of Request for Proposals (RFPs)
    • Process Personnel Action Forms (PAFs) and Personnel Action Requests (PAR) to update employee status changes
    • Post various Workplace marketing and employee elements for communication
    • Assist and prepare correspondence as needed
    • Manage weekly job summary/postings on various job boards (e.g. RWJBH Careers, Indeed, Workplace, Linkedin)
    • Manage Mobile Health employee referral program; tracking and payments
    • Conduct new employee orientation presentations
    • Participate in special projects and other duties as assigned

    Benefits and Perks:

    • Medical/Dental/Vision plans
    • 403(b)
    • PTO
    • Short & Long Term Disability
    • Basic Life & Accidental Death Insurance
    • Tuition Reimbursement
    • Health Care/Dependent Care Flexible Spending Accounts
    • Discounts Through our Partners
      • NJ Devils
      • NJ Performing Arts Center
      • Verizon
      • And many more!
  • 5 Days Ago

R
Specialist
  • RWJBarnabas Health
  • Brunswick, NJ FULL_TIME
  • Job Overview:The Employee Resource Specialist is responsible for providing exceptional customer service to Mobile Health employees, stakeholders, vendors and communities we serve. Perform employee rel...
  • 6 Days Ago

I
Title specialist
  • IAA
  • Englishtown, NJ FULL_TIME
  • Here at IAA, our Title Specialists play a critical role in our vehicle life cycle process which includes processing and filing vehicle title documents, reviewing and following up on missing items, and...
  • 19 Days Ago

V
Safety specialist
  • Vistra Corporate Services Company
  • Sayreville, NJ FULL_TIME
  • If you have what it takes to become part of the Vistra family and would like to start a promising career with a global leader, take a look at the exciting employment opportunities that are currently a...
  • 19 Days Ago

N
Warehouse Specialist
  • NANA Regional Corporation
  • North Brunswick, NJ OTHER
  • Work Where it Matters Suvi, an Akima company, is not just another federal mission services contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal...
  • 20 Days Ago

A
Authorization Specialist
  • Alliance Health System
  • Marlboro, NJ FULL_TIME
  • Authorization Specialist Authorization Specialist is responsible for obtaining prior authorizations for all treatment by successfully completing the authorization process with all commercial, automobi...
  • 20 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Appeal Resolution Specialist jobs found in New Brunswick, NJ area

A
Maritime Communications Subject Matter Expert
  • Amentum
  • Trenton, NJ
  • Join a team of Research, Design, Test, & Evaluation (RDT&E) professionals who are identifying, developing, demonstrating...
  • 3/28/2024 12:00:00 AM

A
Home Appliance Subject Matter Expert Remote US Hourly Intermediate
  • Aquant Inc.
  • New York, NY
  • **** **Aquant is taking off like a rocket ship.** Join us for the ride! Were looking for passionate problem-solvers to j...
  • 3/28/2024 12:00:00 AM

M
Sleep Expert - Sales>
  • Mattress Firm
  • Flushing, NY
  • Mattress Firm - JR-P0051522 [Sales Associate / Team Member] As a Sleep Expert at Mattress Firm, you'll: Elevate and enha...
  • 3/28/2024 12:00:00 AM

S
ADP Workforce Now Project Manager/Subject Matter Expert
  • Spencer Thomas Group
  • Roseland, NJ
  • Position Overview: Spencer Thomas Group (STG) is currently looking to add to our team of consultants under our Payroll &...
  • 3/27/2024 12:00:00 AM

L
Practice Area Expert
  • LexisNexis
  • New York, NY
  • Job Description Job Description The Practice Area Expert NARS position serves as a deep subject matter expert (SME) for ...
  • 3/26/2024 12:00:00 AM

I
IT Asset Management Subject Matter Expert
  • Infotech Spectrum Inc,
  • New York, NY
  • Title: ITAM SME/ Solution Architect Duration: 11+ months Location: New York City, NY Job Description Infrastructure IT A...
  • 3/25/2024 12:00:00 AM

R
Subject Matter Expert for B2C Sales Software, Director
  • Regal.io
  • New York, NY
  • ABOUT US: Regal.io empowers businesses to add a human touch at key moments in their online experiences in order to win c...
  • 3/25/2024 12:00:00 AM

A
Home Appliance Subject Matter Expert Remote Hourly Intermediate
  • Aquant Inc.
  • New York, NY
  • Aquant is taking off like a rocket ship join us for the ride! Were looking for passionate problem-solvers to join our ve...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 5.789 square miles (14.995 km2), including 5.227 square miles (13.539 km2) of land and 0.562 square miles (1.456 km2) of water (9.71%). New Brunswick is in Raritan Valley (a line of cities in central New Jersey). New Brunswick is on the south side of Raritan Valley along with Piscataway Township, Highland Park, Edison Township, and Franklin Township (Somerset County). New Brunswick lies southwest of Newark and New York City and northeast of Trenton and Philadelphia. New Brunswick is bordered by Piscataway, Highland Park...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$53,698 to $66,520
New Brunswick, New Jersey area prices
were up 1.5% 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