Appeal Resolution Specialist jobs in Portsmouth, OH

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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Medical Receptionist
  • Eye Specialist
  • Portsmouth, OH FULL_TIME
  • We are looking for a friendly, dependable front desk receptionist for our office. This is a full time position, and we would need someone with open availability. Candidate would be required to travel between our other semi-local offices. This is a very fast paced environment and multi tasking is a must. Job responsibilities include: checking in and greeting patients, collecting copayments and coinsurances, entering insurance and demographic information, scanning testing and documents, preparing charts, confirming appointments, and calling to obtain prior authorizations with insurance companies. Must have open availability, and great attendance.

    Job Type: Full-time

    Pay: From $15.00 per hour

    Benefits:

    • Flexible schedule

    Schedule:

    • Day shift

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • Customer Service: 1 year (Preferred)

    Work Location: In person

  • 30 Days Ago

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Specialist
  • Fluor – BWXT Portsmouth LLC
  • Piketon, OH FULL_TIME
  • Your user session will timeout in 5 minutes. Please click OK to continue with your application.Readiness Specialist I (HR-5690)Tracking Code HR-5690 Job Description Readiness Specialist IJob Code : RE...
  • 14 Days Ago

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Sanitation Specialist
  • Sunset
  • Morehead, KY FULL_TIME
  • Values: To perform the job successfully, the incumbent’s behavior must be consistent with the PRIDE values expected of all Mastronardi Produce employees be Passionate; have Respect; be Innovative; be ...
  • 14 Days Ago

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Nutrition specialist
  • Holzer Health System
  • Jackson, OH FULL_TIME
  • Assists in preparation of quality meal service for patients, staff, and visitors in a clean and sanitary environment. Shifts may vary. Performs basic clerical duties on an as needed basis. Performs ot...
  • 19 Days Ago

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Delivery Specialist
  • Rent-2-Own
  • Union, OH FULL_TIME
  • Responsible for the safe delivery, setup, service, and retrieval of products from the store to a customers home. Contributes to the team by repairing, cleaning, and moving product from stockroom to th...
  • 20 Days Ago

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Training Specialist
  • Integrated Services for Behavioral Health
  • Piketon, OH FULL_TIME
  • We are seeking a Training Specialist!! Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health a...
  • 20 Days Ago

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0 Appeal Resolution Specialist jobs found in Portsmouth, OH area

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Warehouse Specialist
  • American Freight Inc.
  • Chillicothe, OH
  • ** Warehouse Specialist** **Job Category****:** Store Operations **Requisition Number****:** WAREH006366 Showing 1 locat...
  • 4/24/2024 12:00:00 AM

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Safety Specialist
  • Pixelle Specialty Solutions
  • Chillicothe, OH
  • Job Description Job Description Company DescriptionPixelle Specialty Solutions is the largest specialty paper company in...
  • 4/22/2024 12:00:00 AM

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Sales Development Specialist
  • SPECTRUM
  • Chillicothe, OH
  • Are you an outgoing professional who thrives when working independently? Do you enjoy getting out of the office and conn...
  • 4/22/2024 12:00:00 AM

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Parts Specialist
  • O'Reilly Auto Parts
  • Jackson, OH
  • The Parts Specialist will provide all retail and installer customers with a high level of service. This position will al...
  • 4/21/2024 12:00:00 AM

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Retail Service Specialist
  • O'Reilly Auto Parts
  • Ashland, KY
  • The Retail Service Specialist will support the Store Manager and Assistant Managers in areas of sales, customer service,...
  • 4/21/2024 12:00:00 AM

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QA/QC Specialist
  • InSolves
  • Piketon, OH
  • Job Description Job Description Job Title: QA/QC Specialist Category: Operations Location: Piketon, Ohio FLSA: Exempt St...
  • 4/20/2024 12:00:00 AM

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Talent Acquisition Specialist
  • Addiction Recovery Care
  • Ashland, KY
  • Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 202...
  • 4/20/2024 12:00:00 AM

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Application and Database Specialist
  • Leidos
  • Piketon, OH
  • Description Unleash Your Potential At Leidos, we deliver innovative solutions through the efforts of our diverse and tal...
  • 4/11/2024 12:00:00 AM

Portsmouth is a city in and the county seat of Scioto County, Ohio, United States. Located in southern Ohio 41 miles (66 km) south of Chillicothe, it lies on the north bank of the Ohio River, across from Kentucky, just east of the mouth of the Scioto River. The population was 20,226 at the 2010 census. Portsmouth is at the confluence of the Ohio, Scioto, and Little Scioto rivers. It is a midway point among four major cities: Charleston, West Virginia, Cincinnati and Columbus, Ohio; and Lexington, Kentucky, each of which are approximately ninety miles away (roughly a two-hour drive). Much of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$43,522 to $53,916
Portsmouth, Ohio 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