Appeal Resolution Specialist jobs in Somerset, 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)

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Specialist
  • RWJBarnabas Health
  • Somerville, NJ FULL_TIME
  • Responsibilities:

    Assists with all clerical and administrative aspects of mammography workflow including but not limited to: Assists with Rad/Path input, Assists with written/verbal timely communication, Assist with Birads letters mailing, follow up, Assists with ensuring all exams are resulted timely or followed up accordingly, Ensures STAT/priority reports are transcribed timely, Assists with needed addendum tracking, Performs importing of all outside imaging, managing the schedule to ensure appropriate outside imaging is received timely to ensure timely release of results, Mails/faxes all reports and letters to referring physicians and patients, in accordance with FDA/MQSA guidelines, Provides department support with Epic workflow, Performances QA for reports and Birads letters tracking, Tracks patients due/past due for follow up, proactively coordinates with scheduling, Serves as relief for front desk and scheduling, Supports workflow with appropriate engagement in WQs related to reports, billing, scheduling, etc., Works closely with Breast Center management team, advising of any problems encountered with reports, billing, etc and offers suggestions for improvement

  • 1 Month Ago

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Specialist
  • RWJBarnabas Health
  • Somerset, NJ FULL_TIME
  • Job Summary:The Specialist functions semi-independently, under the direction of the Transfer Center nurse/nurse supervisor as part of the integrated healthcare team. The Transfer Center Specialist wil...
  • 1 Month Ago

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AR Specialist
  • SHI International Corp.
  • Somerset, NJ FULL_TIME
  • Job Summary SHI is currently seeking individuals to work as Accounts Receivable Specialists in the Accounting Department supporting our various business divisions. This job requires constant interacti...
  • 17 Days Ago

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Corporate specialist
  • Everest Global Services, Inc.
  • Warren, NJ FULL_TIME
  • Description About Everest : It’s an exciting time for Everest Group, Ltd. ( Everest’ or the Group’)! As we continue on our journey, we see significant opportunity ahead of us to expand our reach, buil...
  • 17 Days Ago

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Training Specialist
  • PIM BRANDS LLC
  • Somerset, NJ OTHER
  • Job Details Job Location: Somerset - Somerset, NJ Education Level: 4 Year Degree Salary Range: $75.00 - $85.00 Salary/year Job Category: Training DescriptionDo you love candy and snacks? Are you looki...
  • 21 Days Ago

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Nature Specialist
  • Girl Scouts of Northern New Jersey
  • Morristown, NJ FULL_TIME
  • DescriptionGirl Scouts of Northern New Jersey is looking for energetic, fun, organized, and caring staff to provide memorable experiences to girls in a safe and engaging Summer Camp environment! At Jo...
  • 21 Days Ago

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0 Appeal Resolution Specialist jobs found in Somerset, NJ area

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Subject Matter Expert (SME) for Health Administration (Remote/Hybrid) - (Contractor)
  • Confidential
  • New York, NY
  • 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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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 ...
  • 4/25/2024 12:00:00 AM

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Food Service Equipment, Hot Line Subject Matter Expert New York Hourly
  • 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...
  • 4/24/2024 12:00:00 AM

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Sleep Expert - Sales
  • Mattress Firm, Inc.
  • Cranbury, NJ
  • 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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Underwriting Specialist, General Liability
  • Ascot Group
  • New York, NY
  • Job Description This is an opportunity to join Ascot Group - one of the world's preeminent specialty risk underwriting o...
  • 4/22/2024 12:00:00 AM

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Sr. Litigation Specialist, General Liability
  • The Travelers Indemnity Company
  • Morristown, NJ
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 4/21/2024 12:00:00 AM

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Engineering Specialist -Semantics Expert
  • ZS
  • Princeton, NJ
  • ZS is a place where passion changes lives. As a management consulting and technology firm focused on transforming global...
  • 4/21/2024 12:00:00 AM

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Sales Expert
  • Haavia, Inc.
  • Monroe Township, NJ
  • Position: Technology Sales Expert Location: NJ (Local to NJ) Long Term Client: Telecommunication Rate: $65-70/hr W2 Who ...
  • 4/21/2024 12:00:00 AM

Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083. Somerset housed one of the first Marconi Wireless Stations in the United States. According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$53,581 to $66,377
Somerset, 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