Appeal Resolution Supervisor jobs in Allentown, PA

Appeal Resolution Supervisor supervises a team responsible for the processing of appeals. Assigns and prioritizes cases. Being an Appeal Resolution Supervisor responds to and resolves escalated issues. Coaches and trains team in the utilization of industry standards and best practices. Additionally, Appeal Resolution Supervisor requires a bachelor's degree. Typically reports to a manager. The Appeal Resolution Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be an Appeal Resolution Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)

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Audit & Appeal Coordinator
  • Grand View Health
  • Sellersville, PA FULL_TIME
  • Schedule: Full Time, 8:30am-5pm, Monday-Friday


    Responsibilities

    Under the general direction of the Manager of Health Information Management, the Audit and Appeals Coordinator coordinates recovery audit contracting activities to ensure that deadlines are adhered to. The Audit and Appeal Coordinator is responsible for hospital compliance with all federal, state and regulatory agencies to manage payer audits and appeals. Assumes the role of system administrator for the Audit and Appeals software product.

    These duties will require the understanding of many complex and varying guidelines, systems, regulations and tools. The Audit and Appeals Coordinator will use critical thinking skills to manage an ever-evolving process that includes financial, clinical and legal components. The Audit and Appeals Coordinator will proactively work with GVH staff and physicians to put processes in place and to correct identified deficiencies that are impacted by retrospective denials.

    Qualifications

    EDUCATION AND EXPERIENCE:
    • High school diploma/GED and over 1 to 3 years of healthcare audit and appeals experience required.

    LICENSES AND CERTIFICATIONS:
    • RHIA or RHIT certification upon hire preferred.
    • Licensed Practical Nurse/Registered Nurse in PA – licensed, upon hire, preferred.

    BENEFITS:
    • Medical, free dental, vision insurance for full time and part time
    • 403B
    • Pension plan
    • On-site discounted child care center
    • Tuition reimbursement up to $5250 per year
    • Free life insurance
    • Free parking
    • Paid time off
    • Sick time
    • Flexible spending accounts
    • Employee referral bonus
  • 29 Days Ago

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Audit and Appeal Coordinator
  • Grand View Hospital
  • Sellersville, PA FULL_TIME
  • Responsibilities Under the general direction of the Manager of Health Information Management, the Audit and Appeals Coordinator coordinates Recovery Audit Contracting activities to ensure that deadlin...
  • 1 Month Ago

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Supervisor
  • Worldwide Flight Services
  • Allentown, PA FULL_TIME
  • About WFS Join our Worldwide Flight Services family and contribute to the timely delivery of cargo shipment, luggage, business to customer delivery, and on-time flights while operating safely and secu...
  • 17 Days Ago

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Supervisor
  • Newbold Services LLC
  • Breinigsville, PA FULL_TIME
  • Newbold Services, LLC., one of the leading providers of quality facility management services for manufacturing & industrial, distribution, healthcare, commercial, and educational facilities is in need...
  • 17 Days Ago

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Supervisor
  • Justice Grown
  • Bethlehem, PA FULL_TIME
  • The Supervisor is responsible for creating and ensuring an exceptional customer experience for our customers. This role ensures all sales are compliant with state regulations, and that customer needs ...
  • 19 Days Ago

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SUPERVISOR
  • IH Services
  • Easton, PA FULL_TIME
  • IH Services, LLC, one of the leading providers of quality facility management services for manufacturing & industrial, distribution, healthcare, commercial, and educational facilities is in need of a ...
  • 21 Days Ago

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0 Appeal Resolution Supervisor jobs found in Allentown, PA area

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Shipping Associate
  • Walmart
  • Allentown, PA
  • **Job Summary:** As a Shipping Associate at Walmart, you will be responsible for efficiently and accurately preparing me...
  • 4/24/2024 12:00:00 AM

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Order Picker
  • Walmart
  • Allentown, PA
  • **Job Summary:** As an Order Picker at Walmart, you will be responsible for accurately and efficiently selecting merchan...
  • 4/24/2024 12:00:00 AM

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Patient Engagement Partner - Access Center, Local Remote Position (PA or NJ residents only)
  • St Luke's University Health Network
  • Allentown, PA
  • St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most ...
  • 4/23/2024 12:00:00 AM

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Medical Prior Authorization Specialist
  • St Luke's University Health Network
  • Allentown, PA
  • St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most ...
  • 4/23/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/22/2024 12:00:00 AM

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Project Manager Electric Utilities
  • Leidos Holdings Inc.
  • Allentown, PA
  • Description At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are de...
  • 4/22/2024 12:00:00 AM

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Legal Intern
  • Prinston Pharmaceutical Inc.
  • Somerset, NJ
  • Job description Prinston Pharmaceutical Inc. ABOUT US Prinston Pharmaceutical, Inc. is a fully integrated pharmaceutical...
  • 4/21/2024 12:00:00 AM

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SOC Analyst
  • HCLTech
  • King of Prussia, PA
  • Role: - SOC Analyst Location: -King of Prussia, PA Full time Hire Day 1 Onsite Job Description: - Provide technical lead...
  • 4/20/2024 12:00:00 AM

Allentown (Pennsylvania Dutch: Allenschteddel) is a city located in Lehigh County, Pennsylvania, United States. It is Pennsylvania's third most populous city and the 231st largest city in the United States. As of the 2010 census, the city had a total population of 118,032 and is currently the fastest growing city in all of Pennsylvania. It is the largest city in the metropolitan area known as the Lehigh Valley, which had a population of 821,623 residents as of 2010[update]. Allentown constitutes a portion of the New York City Combined Statistical Area and is the county seat of Lehigh County. ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Supervisor jobs
$69,645 to $85,152
Allentown, Pennsylvania area prices
were up 1.5% from a year ago