| Appeal Resolution Senior Manager Job Description |
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| The following is a full job description for Appeal Resolution Senior Manager. Here are the requirements and responsibilities for Appeal Resolution Senior Manager along with statistics. If after reading this page you determine that Appeal Resolution Senior Manager is not the position you are looking for, you may want to try one of these similar titles: Appeal Resolution Manager, Appeal Resolution Nurse, Appeal Resolution Supervisor, Appeal Resolution Senior Specialist, Appeal Resolution Specialist, Compensation Senior Manager, Product Design Senior Manager, Systems Administration Senior Manager, Network Operations Senior Manager |
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| Requirements and Responsibilities For Appeal Resolution Senior Manager |
| Directs the overall grievance and appeal process operations that encompass the review, investigation, negotiation and processing of disputed medical, insurance, and other claims. Ensures that work activities are compliant with all regulatory guidelines and policy protocols. Allocates resources to ensure an effective and efficient case workload that achieves operational objectives. Provides expert subject matter guidance and may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. |
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| Also referred to as: Grievance and Appeals Resolution Manager, Sr. |
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| Similar Jobs: Appeal Resolution Manager, Appeal Resolution Nurse, Appeal Resolution Supervisor, Appeal Resolution Senior Specialist, Appeal Resolution Specialist, Compensation Senior Manager, Product Design Senior Manager, Systems Administration Senior Manager, Network Operations Senior Manager |
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| Level of Education: Appeal Resolution Senior Manager Salaries with No Diploma, Appeal Resolution Senior Manager Salaries with a High School Diploma or Technical Certificate, Appeal Resolution Senior Manager Salaries with an Associate's Degree, Appeal Resolution Senior Manager Salaries with a Bachelor's Degree, Appeal Resolution Senior Manager Salaries with a Master's Degree or MBA, Appeal Resolution Senior Manager Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
