Appeal Resolution Specialist jobs in Roanoke, VA

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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Anatomic Path Resolution Representative
  • Quest Diagnostics
  • Roanoke, VA FULL_TIME
  • Overview

    Anatomic Path Resolution Representative - Roanoke, VA - Monday, Tuesday, Thursday, Friday 6:30 AM - 5:00 PM (Rotational Weekends)

     

    The position is primarily responsible for resolving issues in regards to testing and reporting of Histology and Cytology specimens. 

    Responsibilities

    • Communicate with and educate clients in order to expedite patient results 
    • Resolve problematic Histology and Cytology cases 
    • Pull and monitor worklists and pending lists 
    • Locate missing patient samples 
    • Enter TIQ problems into the LIS 
    • Provide priority handling of patient samples with limited stability and problems impacting their processing 
    • Research, investigate and resolve incoming client faxes/phone calls 
    • Provide necessary notification to external and internal clients of any problems or resolutions affecting patient test results 
    • Resolve and process Name Mismatches and provide proper notification to clients along with follow-up documentation for reporting purposes 
    • Demonstrate and convey an understanding of the compliance policies relating to test ordering, test reporting, add-on tests, TNP’s, reflex tests and custom panels.  This will require the ability to research test ordering information 
    • Demonstrate proficiency and understanding of all job duties and SOPs related to problem resolution 
    • Other duties as assigned 

    Qualifications

    QUALIFICATIONS

    Required Work Experience:  

    3 years experience in AP Support environment 

    Preferred Work Experience:  

    N/A

    Physical and Mental Requirements:  

    • The normal performance of duties may require lifting and carrying objects: Objects 1 to 10 pounds are lifted and carried frequently; objects 11 to 25 pounds are lifted and carried occasionally; objects 36 to 50 pounds are seldom lifted or carried and objects over 50 pounds are not to be lifted or carried without assistance.  
    • Ability to stand and work at the bench for long periods of time.  
    • Frequent walking and/or standing.  
    • May be required to use a wide variety of manual tools and laboratory instruments and apparatuses all of which demand significant manual dexterity 

    Knowledge:  

    Functional knowledge of medical terminology 

    Skills:  

    • PC skills, including working knowledge of MS Office 
    • Strong Data Entry skills 
    • Excellent clerical, organizational, phone and communication skills 
    • Strong problems solving skills 

    EDUCATION High School Diploma or Equivalent(Required)LICENSECERTIFICATIONS

     

    While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

     

    2024-57185

    EEO

    Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other status protected by state or local law. Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary. 

  • 1 Month Ago

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Safety Specialist
  • GRAYWOLF INTEGRATED CONSTRUCTION COMPANY
  • Roanoke, VA FULL_TIME
  • Job Title: Safety Specialist Reports to: Safety Manager Department: Safety POSITION SUMMARY: Responsible to learn all safety functions necessary to support Graywolf Construction at the assigned jobsit...
  • 16 Days Ago

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Learning Specialist
  • HigherEdJobs
  • Blacksburg, VA FULL_TIME
  • Learning Specialist Virginia Tech in Blacksburg, VA Type: Full-Time Posted: 04/03/2024 Category: Tutors and Learning Resources; 1 Academic Advising Military Job Description The Learning Specialist wil...
  • 16 Days Ago

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Fitness Specialist
  • Town of Blacksburg, VA
  • Blacksburg, VA FULL_TIME
  • General Definition of Work The Fitness Specialist position will serve as Fitness Instructor for adult exercise classes at the Blacksburg Community Center, by educating and motivating class participant...
  • 16 Days Ago

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Guest specialist
  • VP Management
  • Princeton, WV FULL_TIME
  • Job Summary : VP Management is seeking a dedicated and motivated individual to join our team as a Guest Satisfaction Specialist. This is a full-time, individual contributor role located at our managem...
  • 17 Days Ago

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To Go Specialist
  • Carrabba's Italian Grill
  • Roanoke, VA FULL_TIME
  • Are you ready to learn, have fun, and make money? Here at Carrabba’s we do just that! Our atmosphere and hospitality for our customers is old-world Italian with a new-world feel. We provide our team m...
  • 17 Days Ago

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0 Appeal Resolution Specialist jobs found in Roanoke, VA area

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Rare Disease Sales Specialist
  • EPM Scientific
  • Roanoke, VA
  • Job Title: Sales Specialist Company Type: Small Biotech Territory: Roanoke/Raleigh - includes Raleigh, Durham, Roanoke, ...
  • 4/25/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm, Inc.
  • Roanoke, VA
  • Is your current job a nightmare? Make it a dream job at Mattress Firm®! Join Mattress Firm as a Sleep Expert® and have t...
  • 4/24/2024 12:00:00 AM

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Doughnut Specialist
  • Krispy Kreme
  • Roanoke, VA
  • If you love spreading joy, then this position is for you! Our Doughnut Specialist team members are the face of Krispy Kr...
  • 4/24/2024 12:00:00 AM

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Merchandiser Specialist
  • Acosta Group
  • Roanoke, VA
  • As a Premium Merchandiser Specialist, you'll represent hundreds of brands across several retail locations. You will work...
  • 4/24/2024 12:00:00 AM

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Field Application Specialist - HammerHead
  • The Toro Company
  • Roanoke, VA
  • 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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Delivery Specialist
  • RAC Brands
  • Roanoke, VA
  • Job Description Rent A Center Ready to do your best work? Interested in a starting hourly rate up to $16.15? Why should ...
  • 4/23/2024 12:00:00 AM

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Operations Specialist
  • Wurth Wood Group
  • Roanoke, VA
  • Position Summary: We are seeking an eager-to-learn Operations Specialist for our Roanoke location. This is a manual labo...
  • 4/22/2024 12:00:00 AM

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Acquisition Specialist / Construction Experience
  • Metrics LLC
  • Salem, VA
  • Job Description Job Description Metrics is looking for a dedicated and experienced Acquisition Specialist with experienc...
  • 4/21/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 42.9 square miles (111.1 km2), of which 42.5 square miles (110.1 km2) is land and 0.3 square miles (0.8 km2) (0.8%) is water. Roanoke is located in the valley and ridge province of Virginia immediately west of the Blue Ridge Mountains and east of the Allegheny Mountains Within the city limits is Mill Mountain, which stands detached from surrounding ranges. Its summit features the Roanoke Star, Mill Mountain Zoo, the Discovery Center interpretive building, and an overlook of the Roanoke Valley. The Appalachian Trail runs...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$44,047 to $54,566
Roanoke, Virginia area prices
were up 1.2% 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