| Appeal Resolution Specialist Job Description |
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| The following is a full job description for Appeal Resolution Specialist. Here are the requirements and responsibilities for Appeal Resolution Specialist along with statistics. If after reading this page you determine that Appeal Resolution Specialist is not the position you are looking for, you may want to try one of these similar titles: Appeal Resolution Senior Specialist, Appeal Resolution Nurse, Appeal Resolution Director, Appeal Resolution Supervisor, Appeal Resolution Manager, Technical Customer Support Specialist IV, Client Service Specialist IV, Technical Customer Support Specialist III, Public Relations Specialist IV |
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| Requirements and Responsibilities For 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. Conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require a bachelor's degree. Typically reports to a manager. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. |
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| Also referred to as: Grievance and Appeals Resolution Specialist |
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| Similar Jobs: Appeal Resolution Senior Specialist, Appeal Resolution Nurse, Appeal Resolution Director, Appeal Resolution Supervisor, Appeal Resolution Manager, Technical Customer Support Specialist IV, Client Service Specialist IV, Technical Customer Support Specialist III, Public Relations Specialist IV |
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| 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 |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
