Appeal Resolution Specialist jobs in Pennsylvania

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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EHS Specialist
  • Resolution LLC
  • Clairton, PA FULL_TIME
  • Resolution® is an employee-focused consulting firm based in Huntsville, Alabama, which prides itself on the core values of Integrity | Service| Excellence. Our EHS consultants offer end-to-end solutions to manage, support, and simplify our clients’ Environmental Health & Safety needs. Services consistently offered include but are not limited to qualitative and quantitative exposure assessments, conducting EHS training, and health & safety program development and project management.

    With this position, you will be able to live anywhere in the contiguous United States. However, the following states are preferred due to logistical factors related to our customer base: Alabama, Arkansas, California, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Michigan, Mississippi, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia.

    Full-Time Position: Safety & Industrial Hygiene Consulting

    Schedule: Full-Time, Monday – Friday

    Salary: Based on Experience

    Education Level: Minimum – Bachelor’s Degree in Environmental Health & Safety or Physical Sciences. Preferred – Master’s Degree in Industrial Hygiene or Occupational Safety

    Travel: Yes – Estimated around 25%, with short durations at 50-75%

    This position requires a minimum of one (1) year of experience, which can include industrial hygiene, environmental health and/or safety related duties. Consulting experience is a plus.

    Responsibilities:

    • Provide technical support to a diverse client base in a variety of industries.
    • Conduct industrial hygiene and indoor air quality (IAQ) assessments.
    • Develop and deliver occupational safety training.
    • Evaluate compliance with regulatory agencies including but not limited to OSHA and US EPA.
    • Perform safety/health audits at client locations of varying industries including commercial, industrial, and municipal.
    • Recognize, assess, evaluate, and measure chemical and physical hazards at client work sites.
    • Evaluate safety and health conditions and provide guidance on corrective actions and control measures.
    • Generate technical reports.
    • Communicate effectively with clients and coworkers.

    Requirements:

    • Solid understanding of occupational health and safety principles and practices.
    • Excellent written, oral, verbal, and interpersonal skills.
    • Knowledge of OSHA General Industry and Construction standards.
    • Ability to travel on a regular basis (ranging from 25-50% in a calendar year) throughout the United States.
    • Ability to lift 50 lbs. and pass annual medical and respirator fit test exams.
    • Willing to work in challenging physical environments.
    • Must be able to pass a background check.
    • Experience:
    • Occupational safety: 1 Year (Required)
    • Industrial safety: 1 Year (Required)
    • Experience working in fast pace, high pressure environments.

    Job Type: Full-time

    Pay: $60,000.00 - $90,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Relocation assistance
    • Retirement plan
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • Monday to Friday
    • Weekends as needed

    Travel requirement:

    • Up to 25% travel

    Application Question(s):

    • How many years of direct experience do you have with industrial hygiene? This should include air sampling, noise sampling, SEG/Exposure Assessments, etc.

    Education:

    • Bachelor's (Required)

    Experience:

    • EHS: 1 year (Required)
    • Occupational Health & Safety Occupations: 1 year (Required)

    Work Location: Hybrid remote in Clairton, PA 15025

  • 17 Days Ago

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Resolution specialist
  • Select Medical
  • Camp Hill, PA FULL_TIME
  • Overview Claims Resolution Specialist Starting at $17.50 per hour On-Site Hybrid Schedule Possible After 90 Day Probationary Period) Do you enjoy puzzles and research? Are you results-oriented? If so,...
  • 25 Days Ago

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Claims Resolution Specialist
  • Select Medical
  • Camp Hill, PA FULL_TIME
  • Overview Claims Resolution Specialist Starting at $17.50 per hour On-Site (Hybrid Schedule Possible After 90 Day Probationary Period) Do you enjoy puzzles and research? Are you results-oriented? If so...
  • 21 Days Ago

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Claims Resolution Specialist
  • Select Medical
  • Camp Hill, PA FULL_TIME
  • Claims Resolution Specialist Job ID 289678 Location US-PA-Camp Hill Experience (Years) 1 Category Corporate - Central Billing Office Street Address 225 Grandview Avenue Company Select Medical Position...
  • 21 Days Ago

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Issue Resolution Specialist
  • Independence Blue Cross Careers
  • Philadelphia, PA FULL_TIME
  • Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. ...
  • 2 Months Ago

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Accounts Resolution Specialist II - Neurosurgery O Billing
  • Penn Medicine
  • Philadelphia, PA FULL_TIME
  • Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medici...
  • 6 Days Ago

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Subject Matter Expert
  • Bering Straits Native Corporation
  • Lexington, KY
  • Overview Visit our website at www.beringstraits.com to apply! SUMMARY Arcticom, LLC, a subsidiary of Bering Straits Nati...
  • 6/11/2024 12:00:00 AM

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IT Subject Matter Expert
  • Contact Government Services, LLC
  • Hollywood, FL
  • IT Subject Matter Expert Employment Type: Full Time, Experienced level Department: Information Technology As an IT Subje...
  • 6/11/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Montpelier, VT
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Tallahassee, FL
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Columbia, SC
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Trenton, NJ
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • GovCIO
  • Dover, DE
  • **Overview** GovCIO is currently hiring for a Subject Matter Expert to assist with customer coordination, solution devel...
  • 6/9/2024 12:00:00 AM

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Subject Matter Expert
  • Zobility
  • Troy, MI
  • Job Description Job Description Job Description Client Professional Services (CPS) is looking for a Subject Matter Exper...
  • 6/7/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Specialist jobs
$47,813 to $59,228

Appeal Resolution Specialist in Tallahassee, FL
Are you interested in a position that supports the federal judiciary's mission of ensuring equal justice under the law? Come join our talented and diverse team at the Court of Appeals! About the Court The United States Court of Appeals for the 9th.
December 31, 2019
Appeal Resolution Specialist in Monterey, CA
SummaryThe Appeals Manager Owns the output of a single work area within Appeals and typically manages a team of Appeals job family roles.
December 28, 2019
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