Appeal Resolution Specialist jobs in Raleigh, NC

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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Nurse Practitioner
  • Specialist Office
  • Wilson, NC FULL_TIME
  • Nurse Practitioner or Physician Assistant – Oncology
    Wilson, North Carolina

    MUST:
    Registered Nurse Practitioner or Physician Assistant
    Must have 2-3 years of NP/PA experience
    Oncology experience required
    Graduate from an accredited Nurse Practitioner program, Masters Degree in Nursing
    Current license/registration to practice in the state of NC
    CPR certification
    Advanced Oncology Nurse Certification preferred

    DUTIES:
    The candidate will perform the important task of educating patients about preventative care and prescribed treatments related to cancer care.
    Conduct physicals; order tests schedule the infusions in the treatment of the patients care.
    Provide diagnosis, treatment, consultation, and follow up care of patients corresponding with the appropriate level of training.
    Prevention of illness and disability.
    Management of illness and disability.
    Diagnosing, treating, and managing acute and chronic illness.
    Guidance and counseling of individuals and families.

    *Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.

  • 15 Days Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Cary, NC
  • Franklinton, NC FULL_TIME
  • TruGreen is Hiring Residential Lawn SpecialistsImmediate Openings in Cary, NCAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with TruGreen...
  • 2 Days Ago

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Senior Administrator-Dispute Resolution
  • Wake County Public School System
  • Cary, NC FULL_TIME
  • Overview POSITION TITLE (Oracle title) SENIOR ADMINISTRATOR WORKING TITLE Senior Administrator-Dispute Resolution SCHOOL/DEPARTMENT Special Education Services (SES) LOCATION Crossroads II, Cary, NC PA...
  • 15 Days Ago

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Patient Account Associate - Credit Balance Resolution - Remote
  • Duke
  • Durham, NC FULL_TIME
  • At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discov...
  • 6 Days Ago

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Specialist
  • T-ROC
  • Kinston, NC FULL_TIME
  • At T-ROC you have the POWER TO CREATE CHANGE! As a premiere authorized wireless sales partner working inside of one of the world's largest retailers, you will become an exceptional salesperson! By foc...
  • 21 Days Ago

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Specialist
  • Petco
  • Durham, NC FULL_TIME
  • JOB DESCRIPTION Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurt...
  • 22 Days Ago

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0 Appeal Resolution Specialist jobs found in Raleigh, NC area

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Java Backend Subject Matter Expert (SME) - Assistant Vice President
  • Deutsche Bank
  • Cary, NC
  • Job Title: Java Backend Subject Matter Expert (SME) Corporate Title: Assistant Vice President Location: Cary, NC Who we ...
  • 4/25/2024 12:00:00 AM

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Google Cloud Platform (GCP) Data & Business Intelligence (BI) Subject Matter Expert (SME) - Assistant Vice President
  • Deutsche Bank
  • Cary, NC
  • Job Title: Google Cloud Platform (GCP) Data & Business Intelligence (BI) Subject Matter Expert (SME) Corporate Title: As...
  • 4/25/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Raleigh, NC
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/25/2024 12:00:00 AM

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • Durham, NC
  • Job Summary: We are actively searching for a Subject Matter Expert (SME) with a comprehensive background in health admin...
  • 4/24/2024 12:00:00 AM

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Java Backend Subject Matter Expert (SME) - Assistant Vice President
  • Deutsche Bank
  • Cary, NC
  • Job Description: Job Title Backend Subject Matter Expert (SME) Corporate Title Assistant Vice President Location Cary, N...
  • 4/23/2024 12:00:00 AM

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Specialist- Expert (ONSITE)
  • Serigor Inc
  • Raleigh, NC
  • Job Title: Specialist- Expert (ONSITE) Location: Raleigh, NC Duration: 12+ Months Job Description: The Client is seeking...
  • 4/23/2024 12:00:00 AM

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Security Specialist- Expert
  • Serigor Inc
  • Raleigh, NC
  • Job Title: Security Specialist- Expert (Remote) Location: Raleigh, NC Duration: 12+ Months Job Description: This supplem...
  • 4/23/2024 12:00:00 AM

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Quality Review Specialist- Expert (Remote)
  • Serigor Inc
  • Raleigh, NC
  • Job Title: Quality Review Specialist- Expert (Remote) Location: Raleigh, NC Duration: 12+ Months Job Description: Supple...
  • 4/23/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$46,478 to $57,578
Raleigh, North Carolina 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