Appeal Resolution Specialist jobs in Tucson, AZ

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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Practice Manager
  • Skin Appeal
  • Tucson, AZ FULL_TIME
  • We are seeking a versatile individual with exceptional communication skills and proven leadership experience to join our team as a Practice Manager. The ideal candidate is self-motivated, organized, and committed to excellence and should thrive in a fast-paced, ever-changing environment and excel at managing multiple priorities. The Practice Manager must maintain a composed and reassuring presence for both patients and staff. This full-time position is based in our clinic.

    The perfect candidate will have a passion for aesthetics with a desire to work closely with our staff and patients to ensure an exceptional customer experience. We offer an upbeat environment and an opportunity to be a part of helping our patients feel more confident and beautiful.

    Responsibilities:

    • Efficiently manage day-to-day operations of a multi-provider med spa practice, overseeing both medical and non-medical staff. Must be willing to fill in and function as a Patient Care Coordinator when needed.
    • Collaborate with owner to ensure an exceptional patient experience.
    • Implement and uphold clinic operations in alignment with our values, policies, and procedures.
    • Optimize scheduling and practice flow to enhance the patient experience.
    • Supervise daily center operations, including staff scheduling, reconciliation, and ensuring operational compliance.

    · Professionally and compassionately handle patient complaints

    · Lead high-performing teams and motivate the organization toward a common goal.

    · Motivating and coaching team members to meet or exceed monthly KPIs.

    • Ensure legal and accreditation compliance according to federal, state, and local regulations
    • Support and enforce policies related to patient safety, quality improvement, and infection control.
    • Oversee administrative and facility functions, including mail processing, maintenance coordination, and adherence to regulatory requirements.
    • Provide operational guidance, support, and training to all practice staff members, including front office staff, nurses, laser techs, aestheticians and internal sales/marketing teams.
    • Serve as a cultural role model within the practice and address any employee relations issues.

    · Perform periodic chart reviews, monitor operations for compliance with protocols and policies. Report deviations to owner.

    · Ensure staff compliance with HIPPA, OSHA, etc

    · Assist in the prescreening, interviewing and onboarding process for new employees

    · Develop and support a healthy team environment among departments.

    · Develop and maintain systems to provide continuing education and certification for clinical providers.

    · Maintain employee files and ensure compliance with federal and state human resource regulations.

    · Review timesheets for all employees in Isolved, fix errors as needed, approve bi-weekly timesheets and payroll registers. Ensure proper deductions and pay rates.

    · Approve/Deny PTO requests in accordance with office PTO policies.

    · Manage staff aesthetic allowances

    • Monthly Inventory counting and reporting

    · Reports to: Practice Owner

    Minimum Job Qualifications:

    • Minimum of 2 years of management experience, preferably in medical spa, plastic surgery or other aesthetics setting.

    · Ability to perform all administrative tasks in practice to allow effective supervision and serve as back-up patient care coordinator as needed.

    · Sales experience a plus

    · Excellent customer service skills, and effective communication style w/high level of emotional maturity.

    · Ability to lead high-performing teams and motivate an organization toward a common goal.

    · Above-average judgment, integrity, discretion and trustworthiness.

    • Professional demeanor and excellent interpersonal skills.
    • Self-directed with a flexible and enthusiastic attitude.
    • Strong attention to detail and organizational abilities.
    • Exceptional written and verbal communication skills.
    • Passion for fostering personal and professional growth in others.
    • Customer-focused mindset with a compassionate approach.
    • Human resource certification or leadership training preferred.

    Benefits & Perks:

    • Competitive health, dental, and vision insurance options.
    • Retirement benefits including 401(k) & Roth IRA plans.
    • Paid time off, including vacation, sick days, and company holidays.

    Salary/Compensation:

    • Base salary plus monthly bonus potential
    • Full compensation packages commensurate with candidate experience and relevant licenses or certifications.

    Job Type: Full-time

    Pay: $55,000.00 - $60,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee discount
    • Health insurance
    • Health savings account
    • Paid time off
    • Vision insurance

    Healthcare setting:

    • Clinic
    • Medical office

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • Tucson, Az 85719: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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Service Technician
  • GEN-TECH Power Generation Specialist
  • Tucson, AZ FULL_TIME
  • Description GEN-TECH is a full-service Industrial Power Generator Company four locations across Arizona, Southern Nevada, Denver, CO, and Albuquerque, NM. We are a 32 year company that provides New Eq...
  • 19 Days Ago

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HRIS Specialist
  • MHC Healthcare
  • Marana, AZ FULL_TIME
  • MHC Healthcare is seeking an HRIS Specialist to join the Human Resources team at the Marana Main Health Center, located in the heart of Marana, AZ. The HRIS Specialist is responsible for the developme...
  • 14 Days Ago

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Case Specialist
  • Providencia Group
  • Tucson, AZ PART_TIME
  • TITLE: Case Specialist LOCATION: Tucson, AZ TRAVEL: Minimal (less than 10%) This position is part-time on-call (PTOC) working on an as needed basis. About Us The Providencia Group is led by a purpose:...
  • 14 Days Ago

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Production Specialist
  • FASTSIGNS #110201
  • Tucson, AZ FULL_TIME
  • Production Specialists work in a dynamic, creative and fast-paced environment to create and assemble sign and graphic products for many different business applications. Creative work is performed with...
  • 15 Days Ago

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Operations Specialist
  • WM
  • Tucson, AZ FULL_TIME
  • As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, nation...
  • 15 Days Ago

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0 Appeal Resolution Specialist jobs found in Tucson, AZ area

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Direct Market Manager - Lifeline and ACP Expert (Arizona - Tucson)
  • ThinkTank LLC
  • Tucson, AZ
  • Job Description Job Description ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market...
  • 4/23/2024 12:00:00 AM

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Technical Expert, Electrical
  • ASARCO LLC
  • Marana, AZ
  • Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
  • 4/23/2024 12:00:00 AM

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Associate Product Training Specialist
  • Simpleview
  • Tucson, AZ
  • Job Description Job Description ABOUT SIMPLEVIEW: Simpleview is a software development, data analytics and digital marke...
  • 4/23/2024 12:00:00 AM

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Regional Sales/Business Development Expert - Remote (Average 80k-250k)
  • The Fitzgerald Agency
  • Tucson, AZ
  • Job Description Job Description Company Description The Fitzgerald Agency offers life insurance coverage that not only a...
  • 4/23/2024 12:00:00 AM

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Safety and Regulatory Specialist
  • Arizona Community Physicians
  • Tucson, AZ
  • Job Description Job Description Safety & Regulatory Specialist Arizona Community Physicians is seeking a qualified candi...
  • 4/22/2024 12:00:00 AM

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Server-Guest Service Expert - JW Marriot...
  • Free-classifieds-usa.com
  • Tucson, AZ
  • ****Server-Guest Service Expert - JW Marriott Tucson Starr Pass Resort & Spa - (22033683)***** Price: Check with seller*...
  • 4/22/2024 12:00:00 AM

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Engineering Labs Section Lead and Metrics Expert
  • Raytheon Technologies
  • Tucson, AZ
  • Date Posted:2024-03-12Country:United States of AmericaLocation:AZ805: RMS AP Bldg 805 1151 East Hermans Road Building 80...
  • 4/22/2024 12:00:00 AM

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Guest Service Support Expert - Server As...
  • free-classifieds-usa.com
  • Marana, AZ
  • ****Guest Service Support Expert - Server Assistant/Host/Hostess - The Ritz-Carlton - (22027546)**** * Price: Free * Pub...
  • 4/21/2024 12:00:00 AM

Tucson (/ˈtuːsɒn, tuːˈsɒn/) is a city and the county seat of Pima County, Arizona, United States, and home to the University of Arizona. The 2010 United States Census put the population at 520,116, while the 2015 estimated population of the entire Tucson metropolitan statistical area (MSA) was 980,263. The Tucson MSA forms part of the larger Tucson-Nogales combined statistical area (CSA), with a total population of 1,010,025 as of the 2010 Census. Tucson is the second-largest populated city in Arizona behind Phoenix, both of which anchor the Arizona Sun Corridor. The city is 108 miles (174 km)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$45,239 to $56,042
Tucson, Arizona area prices
were up 2.5% 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