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Resolution Specialist Jobs in Hardin, Iowa

Problem Resolution Team Specialist (Esc)
By Department of Education At , Malden, 02148 $74,337 - $107,695 a year
Training or knowledge of education law, particularly special education, and preferably student discipline, bullying and other mandated areas
Providing technical assistance and guidance to parents, advocates and school administrators on the implementation of regulatory requirements.
Strong interpersonal, communication skills – ability to communicate and work effectively with a wide range of constituencies in a diverse community.
An Equal Opportunity/Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
Performing other duties as required.
The successful candidate will possess:
Medical Claims Resolution Specialist (Remote)
By MultiPlan Inc. At , Remote $19.83 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Knowledge of general office operations and/or experience with standard medical insurance claim forms
Address counter-offers received and present proposal for resolution while adhering to client guidelines and policy and procedures
Provider education to providers online provider portal services available for proposal review and approval
Good Communication (verbal, written and listening) teamwork, negotiation and organizational skills
Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
A/R Research And Resolution Representative
By US Acute Care Solutions At , Remote $12.91 - $21.52 an hour
At least one year of medical insurance or billing experience or equivalent training or education.
Maintains knowledge of current government and/or carrier regulations relevant to the industry.
Knowledge of medical insurance and its terminology.
Basic knowledge of ICD-10 and CPT codes.
Ability to work effectively in remote setting.
Serves as an active contributor in team meetings.
Issue Resolution & Quality Coordinator
By DeKalb County, GA At , Decatur, Ga $58,662 - $94,446 a year

Salary Range: $58,662-$94,446 FLSA: Exempt The purpose of this classification is to monitor and coordinate quality assurance and resolution of complex customer service issues for the ...

Senior Claims Resolution Specialist, Commercial Bi
By Liberty Mutual At , Remote $73,600 - $97,700 a year
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
Manages, investigates, and resolves claims.
Strong written and oral communications skills required.
Strong interpersonal, analytical, negotiation and investigative skills required.
Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
Sr. Claims Resolution Specialist Iii, Commercial Bi
By Liberty Mutual At , Remote $92,700 - $140,600 a year
Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
May be involved in special projects and/or mentoring at the direction of local management.
Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority.
May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
Billing Resolution Specialist - 12:30-9:00Pm
By Privia Health At , Remote $17.00 - $18.75 an hour
1+ year of full time experience in a call center customer service environment preferred; remote work experience preferred
Technical Requirements (for remote workers):
Must provide accessibility to secure, quiet work space with direct high-speed internet connection to effectively work remotely
Answer high volume, inbound phone calls from patients, utilizing a cloud based phone system.
Educate our patients on patient financial responsibility surrounding deductibles, copays, and coinsurance.
Confidently inform and collect patient balances using Privia financial policy guidelines.
Senior Claims Resolution Specialist - Business Lines Specialty
By Liberty Mutual Insurance At , Remote $91,300 - $146,700 a year
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
May be involved in special projects and/or mentoring at the direction of local management.
May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
A full working knowledge of claims operations and procedures is required.
Senior Claims Resolution Specialist, Complex Casualty
By Liberty Mutual Insurance At , Remote $82,500 - $104,000 a year
Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively.
Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues.
May serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests.
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
Resolution Analyst Jobs
By CDK Global At United States
Updates management on potential issues. Makes recommendations on resolution and ways to prevent future issues, after root cause evaluation
Minimum 2 years of experience in a finance, customer service or collection, or contracting background
Resolves escalated client issues/disputes using problem solving skills
Knowledge of Oracle ERP system is a plus
Bilingual (English /French (Canada)) is a requirement
Researches issues which includes contacting internal CDK business groups to determine resolution
Resolution Billing Specialist Jobs
By Richter At Ohio, United States
Minimum of 3 years of experience in billing and collection management, preferably in healthcare
Insurance verification, claim submission, follow up, denial management and remit review
Communicate status of projects to team leader/manager on a daily or weekly basis depending on project requirements
Perform all denial management and collections procedures to obtain payment
Effectively prioritize and manage time to accomplish project goals and expectations
Bachelor's degree in Billing or related field, or equivalent experience
Mortgage Servicing Resolution Specialist
By U.S. Bank At United States
This role is remote anywhere in the U.S.*
Bachelor's degree, or equivalent work experience
Four or more years of experience in administrative support activities
Demonstrated administrative skills and acute attention to detail
Strong verbal and written communication skills
Strong analytical and problem-solving skills
Complaint Resolution Specialist Jobs
By Credit Acceptance At , $20 - $23 an hour
Experience in the finance or automotive industry
Knowledge of mechanical issues that commonly occur with vehicles
Experience having to interpret existing rules/guidelines and apply them appropriately to make decisions
Insightful by cultivating innovation, accumulating business and role specific knowledge, demonstrating self-awareness and making quality decisions
Targeted Compensation: $20.00- $23.00/hour based on experience.
Percent (%) of Customers contacted within 3 business days of escalation
Resolution Specialist Jobs
By Alignment Health At California, United States
Computer Skills: Intermediate MS Suite knowledge and experience
Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries
Support other projects and duties as assigned by Management
High school diploma or general education degree (GED); or equivalent combination of education and experience.
Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits
Minimum of 1-2 years healthcare experience and/or training required; 3-4 years of healthcare experience/training preferred
Fully Remote Case Resolution Specialist ($21.50 / Hour)
By Talentify.io At United States
Skills needed: prior experience with queue-based casework, reporting, and identity verification
100% WFH/Remote – Must be located in the local Phoenix, AZ area
Job responsibilities include reviewing backgrounds, investigating background checks, and adjudicating processes
Opportunity for long-term career success and growth
Rewarding hard work and dedication
Access to a range of positions and career opportunities
Conflict Resolution Specialist (School Climate Team)
By Chicago Public Schools At , Chicago, 60631
Strong communication skills (speaking - including presentations - listening, and writing)
Effective strategic planning capabilities, including the ability to establish long-term vision and goals, and
Ability to articulate a vision, set high standards
Demonstrate high levels of instructional expertise, integrity, honesty, credibility, and the courage to
Ability to build collaborative relationships with a variety of constituent groups, including external
Ability to define problems, analyze data, and outline valid conclusions and action steps
Claims Resolution Coordinator Jobs
By GAIUS Networks (Flipped.ai) At United States
Answercustomer service lines as necessary and responds toprovider inquiries either byphone, email,or in person regardingclaims-related questions.
Reviews, researches, and workswith various departments to resolve complex providerinquiries, appeals, and grievances.
ProcessesCIFs and adjustments as needed.
Writesand runsreports in Business Objects to obtain needed claim data.
Tracksand analyzesprovider trends with denials and CIFsto provide support toproviderswith an opportunity to improve.Distributesprovider scorecards.
Trackscomplaints, appeals, and grievances by the program. Reportsactivities on a quarterlybasis to IQI, PHC Compliance Coordinator,and Claims Director.
Billing Resolution Specialist Jobs
By RXO At , Charlotte, 28277, Nc
1 year of related experience in transportation including TMS interaction and carrier/customer contract auditing and accounts receivable
Experience with Microsoft Office (Outlook, PowerPoint, Word & Excel)
Excellent verbal and written communication skills
Demonstrated analytical skills; ability to effectively identify and resolve problems
Audit freight invoices by interpreting and applying customer contracts, terms and conditions
Audit invoices before sending to customer to verify they are accurate and collectible
Specialist, Deduction Resolution Jobs
By The J. M. Smucker Company At , Orrville, Oh
Manage a combination of daily responsibilities and special projects to support current business activities and needs.
Additional skills and experience that we think would make someone successful in this role:
1 year of related business experience
Effective interpersonal skills, both written and verbal, to build relationships with internal and external partners.
Intermediate Excel skills (V-Lookup, Pivot Table, Formulas)
Strong problem solving, and analytical skills needed in managing complex business situations and achieving objectives.
Medicare Claims Resolution Specialist - Remote -Digitech
By Sarnova At United States
Handle all correspondence via mail, email and any necessary refunds; perform other duties as assigned by management
Strong computer skills. Basic understanding of MS Outlook, Word and Excel.
Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful.
Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner.
Shift M-F 830am-5pm EST. Fully Remote. Work from the comfort of your home.
Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold
Customer Resolution Specialist Jobs
By Dyson At Illinois, United States
Offer guidance, support, and education to employees to help prevent future resolution issues.
Deliver an outstanding positive customer experience to consumers and frontline advisors
Provide support to customer experience team by handling supervisor and requested resolution chats through our Internal bot platform.
Optimize customer experience on every interaction (Internal/External) by demonstrating a willingness to assist
Thoroughly walk Customer Experience team through proper troubleshooting steps utilizing appropriate resources (Resolve/TechSee)
Strong written, verbal, and interpersonal skills- Sustain a high level of call quality at all times
Customer Service Specialist - Resolution
By HealthMark Group At Dallas, TX, United States
Ability to multi-task, prioritize duties, and have strong time management skills.
Data Entry work updating addresses, fax numbers, and emails.
Excellent communication skills, strong analytical and problem-solving skills.
1+ year of call center experience
Proficient computer skills with software applications such as Microsoft Office.
Previous Medical Industry Experience preferred but not required.
Claims Resolution Specialist Jobs
By Impresiv Health At Orange, CA, United States

The Claims Resolution Specialist provides assistance in resolving provider claims payment status issues, provider payment disputes, eligibility, and authorization verification. The incumbent will be ...

Hr Resolution Specialist Jobs
By Accra At Minnetonka, MN, United States
This position has the possibility to be 100% remote**
Manage timesheet issues, including reviewing timesheets on hold and resolving paycheck issues.
Manage enhanced rate confirmation process.
Two-year degree or one (1) year of experience in a human resources field.
Understanding of Federal and State Employment Laws and Requirements such as DOL guidelines
Demonstrate knowledge of the Human Resources Department and its essential functions
Recovery Resolution Specialist (Collections)*
By Cotiviti At United States
Works with clients, customers, and partners to accurately assess their needs, provide information or assistance, resolve problems, or satisfy requirements.
Complete all responsibilities as outlined on annual Performance Plan.
High School graduate or equivalent education.
1 year of related experience in healthcare collections or customer service strongly preferred.
Billing or coding experience preferred.
Requires working knowledge of and applicable industry-based standards.
Complaint Resolution Specialist, Afterpay
By Afterpay At Reno, NV, United States
Demonstrated experience in dispute resolution, including communication and management of complaint cases to external groups and governing bodies
Proven experience in conflict resolution and strong problem solving abilities
Tertiary qualifications and/or equivalent industry experience (BBB, CFPB, BCA) is preferred
It's important to note that this role sits within Reno, NV. This is not a remote position
Maintain strong working knowledge of the Afterpay product and support procedures
Strong verbal & written communication skills - ability to draft detailed, logical and comprehensive findings to external dispute bodies
Manager, Business Resolution Jobs
By Tesla Industries, Inc. At Fremont, CA, United States

The Business Resolution team consists of intelligent and driven individuals that use their industry experience and problem-solving skills to tackle complex business challenges. This team collaborates ...

Business Resolution Specialist $23P/H
By Sonder Inc. At United States
Skilled at collaboration and relationship management through building trust, credibility and teamwork.
Aid Market Teams in the management of Emergency and Crisis situations as needed and directed.
Highly organized with experience prioritizing multiple functions and tasks while managing time efficiently without compromising quality
Workplace flexibility (for remote-specified positions only) #ABetterWaytoWork
Ensure that resolutions involving compensation are consistent and equitable based on unique circumstances and similar incident resolutions.
Facilitates the tracking, follow ups and timely resolution of all tasks.