Appeal Resolution Specialist
Also referred to as: Grievance and Appeals Resolution Specialist, Appeal Resolution Specialist, Grievance Resolution Specialist
Requirements and Responsibilities
Logs, tracks, and processes appeals and grievances. Contacts customers to gather information and communicate disposition of case. Conducts pertinent research in order to evaluate, respond to, and close appeals. Builds case files for each grievance and ensures compliance with organizational and regulatory guidelines. Requires a bachelor's degree. Typically reports to a supervisor or manager. Gaining exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience.
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Years of Experience Education Level
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Similar Jobs:  Appeal Resolution Supervisor, Appeal Resolution Manager, Security Specialist, Technical Sales Support Specialist IV, Public Relations Specialist IV, Groupware Specialist, Product Specialist, Marketing Specialist, Content Specialist
Level of Education:  Appeal Resolution Specialist Salaries with a Bachelor's Degree, Appeal Resolution Specialist Salaries with a Master's Degree or MBA, Appeal Resolution Specialist Salaries with a JD, MD, PhD or Equivalent
Categories:  Healthcare -- Administrative
Industries:  Edu., Gov't. & Nonprofit, Healthcare, Insurance,
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