Resolution Specialist - National Remote ($16.00 - $27.31 / Hour)

Talentify helps candidates around the world to discover and stay focused on the jobs they want until they can complete a full application in the hiring company career page/ATS.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

This position is full - time. Employees are required to work any shift between the hours of 8:00 AM - 4:30 PM EST (Easter Standard Time zone) OR 9:00 AM - 5:00 PM CST (Central Standard Time zone).

We offer at least 30 days of training. Training will be conducted virtually from your home.

• All Telecommuters will be required to adhere to Hiring Company’s Telecommuter Policy.

Primary Responsibilities

• Diligently follow - up with institutions / businesses to resolve issues ultimately affecting application approval
• Comply with ethics, privacy and compliance policies and procedures
• Assist clients with scheduling appointments and reminding of appointments, as needed
• Answer incoming calls from internal and external customers
• Assist callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process
• Document and update internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e., work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required
• Effectively educate and answer inquiries from patients and family representatives regarding application process
• Monitor and foster ongoing communications with government agencies regarding the status of claims
• Identify appropriate escalation points and work with direct manager to resolve issues
• Identify and take appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process
• Review inbox for daily work queues, identifies missing evidence and follows through to completion
• Review outgoing client material for accuracy prior to submittal

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• Proficient in using Microsoft Office applications, including Microsoft Word and Microsoft Excel
• High School Diploma / GED (or higher)
• Ability to work any shift between the hours of 8:00 AM - 4:30 PM EST (Easter Standard Time zone) OR 9:00 AM - 5:00 PM CST (Central Standard Time zone)
• Prior experience in a role requiring communication with government caseworkers and hospital personnel

Preferred Qualifications

• Associate’s Degree (or higher)

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy