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Resolution Specialist Jobs

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.
Service Support Specialist/ Resolution Specialist- Night Shift
By Evolution At Southfield, MI, United States
To prepare shift reports for the Management
Manage ad-hoc situations which may occur on shift in appropriate manner to still be able to deliver all products
A keen skill for multi-tasking along with excellent problem-solving skills
Ability to make managerial decisions requiring independent judgment and to identify and refer other issues to the proper authorities
Excellent computer literacy skills - command of Microsoft Office products in particular
To ensure that all tables are operational without interruptions
Billing Resolution Specialist - 12:30-9:00Pm Est Shift
By Privia Health At United States
1+ year of full time experience in a call center customer service environment preferred; remote work experience preferred
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.
Research, identify and resolve patient billing queries using athena EMR database.
Appeals Resolution Specialist Jobs
By Independence Pet Group At Scottsdale, AZ, United States
Performs other duties and responsibilities as assigned.
Bachelor’s Degree or relevant work experience
On the job training and skills development
Researches, reviews, and resolves reconsideration of previous claim determinations.
Prepares correspondence advising of appeal determination.
Contacts veterinary clinics to secure medical records and discuss difficult cases with clinic staff. Logs and tracks complaints and appeals.
Ap Resolution Processor Jobs
By MORSCO INC At , Dallas, 75248, Tx

A successful Accounts Payable Processor must be able to work at a fast pace and be very deadline oriented. This person must be a team player and be able to interact well with others and be willing to ...

Clinical Payment Resolution Specialist - Pfs (Remote)
By Trinity Health At Farmington Hills, MI, United States
Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization Review/Case Management departments;
Supports the maintenance of a denial management data base, standard report sets, letter template and other key job aids.
Assists in marketing efforts and the education of physicians, physician office staff and MO colleagues;
Reviews and understands utilization review and coverage guidelines for multiple payers;
Establishes checks and balances to ensure PBS and MO-based key performance indicators are accurate and that goals/targets are met, and
Claims Resolution Specialist Jobs
By Ascension At , Nashville, 37201, Tn From $20.80 an hour
Strong Knowledge of healthcare claims, Medicaid, Medicare, Pharmacy benefits, etc.
Schedule: Full-Time, 8am - 5pm, Mon-Fri, fully remote
Facility: Automated Benefit Services (ABS)
Complex Medical Claims experience, preferred
5 years of healthcare experience, preferred
Review and respond to escalated internal and external calls and emails from participants, providers and provider reps.
Account Resolution Specialist Jobs
By Input 1 At United States
This job may operate remotely.
Prior call center experience preferred.
Strong organizational and interpersonal skills.
Strong analytical and problem-solving skills.
Excellent phone skills with the ability to listen to others.
This job may operate remotely and/or in the office, based on the needs of the business.
Complex Rehab Billing & Claims Resolution Specialist
By ACU-Serve At , Akron, 44308, Oh
Performs other related duties as assigned by management
Ability to work with all levels of management.
Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow.
Dependability – Follows instructions, responds to management direction, completes tasks on time or notifies appropriate person of alternative plan.
Knowledge of Complex Rehabilitative Equipment including but not limited to coding, modifiers, narrative information, parts, repairs, and loaner equipment.
Ability to analyze and/or gain knowledge to interpret Commercial, Medicaid, Medicare, and Medicare Advantage Plan Local Coverage Determinations and Policy Guidelines.
Enrollment Resolution Examiner- 004465 Jobs
By Excellus BCBS At Rochester, NY, United States
Proven organizational, analytical, and time management skills.
In support of the Americans with Disabilities Act, this job description lists only those responsibilities and
Assist with Quality Control for Membership by identifying quality risk, knowledge sharing with peers, and maintaining departmental level quality scores.
A minimum of two (2) years health insurance operations experience preferred
Must have solid communication skills – both verbal and written.
Computer proficiency, including experience in Microsoft Office Suite.
Claims Resolution Specialist - Remote | Wfh
By Get It Recruit - Healthcare At Camp Hill, PA, United States

We are looking for an enthusiastic Accounts Receivable Specialist to join our team! As an Accounts Receivable Specialist, you will be responsible for investigating and following up on all open ...

Collections Resolution Specialist Jobs
By Credit Key At United States
Manage internal collection queue with varying stages of delinquency and past due balances.
Minimum of three (3) years collections experience in consumer or commercial collections.
General knowledge of collections regulations.
100% Remote. Flexible Work Schedule & Location.
Work From Home / Internet / Cell Phone Stipend.
Initiate contact with delinquent borrowers on a consistent basis via outbound call and email communications.
Ar Resolution Specialist - National Remote
By UnitedHealth Group At , Dallas, 75202, Tx $16.00 - $31.44 an hour
Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars
We offer 4 weeks of training. The hours during training will be 8:00am - 4:30pm EST.
Take necessary AR adjustments in accordance with the department’s adjustment policy
Meet or exceed the Northern Light Health performance standards as it relates to quality and productivity
Request relevant information from appropriate revenue cycle and clinical departments as required by payer
Credit Bureau Dispute Resolution Specialist- Quality Control
By U.S. Bank At United States
Working knowledge of Fair Credit Reporting Act requirements and Metro 2 guidelines
Four or more years of experience in clerical and customer service activities
Prior experience in credit analysis or lending
Prior experience working with credit reporting systems such as e-OSCAR
Superior knowledge of products, services, terminology, procedures and systems related to assigned area
Ability to manage multiple projects and deadlines simultaneously while maintaining a high level of customer service
Specialist, Billing Resolution Jobs
By RXO At , Charlotte, 28277, Nc
Clear and concise verbal and written communication skills; ability to communicate with customers, associates and management in a professional manner
Create related reports for clients, finance managers and other key stakeholders
Manage weekly settlements within the defined timeframe, when requested
Manage and monitor improvement actions to measure the success of changes and enhancements
1 year of experience in a customer service-oriented environment
Some experience in accounting, invoicing or freight audit and payment operations
Clinical Payment Resolution Specialist (Hospital Denials & Appeals) - Pfs (Remote)
By Trinity Health At Farmington Hills, MI, United States
Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization Review/Case Management departments;
Supports the maintenance of a denial management data base, standard report sets, letter template and other key job aids.
Assists in marketing efforts and the education of physicians, physician office staff and MO colleagues;
Reviews and understands utilization review and coverage guidelines for multiple payers;
Establishes checks and balances to ensure PBS and MO-based key performance indicators are accurate and that goals/targets are met, and
Problem Resolution Team Specialist (Esc)
By Department of Education At , Malden, 02148, Ma $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:
Dispute Resolution Representative-1 Jobs
By Fifth Third Bank At Cincinnati, OH, United States
Minimum Knowledge, Skills And Abilities Required
Interact with the Internal departments to identify trends/issues and offer recommendations for improvements to policy and procedures, as applicable.
Refers exception cases to Escalations, Supervisor or Manager when they are outside of pre-established guidelines
Customer service skills to be able to contact customers or merchants as part of investigation.
Excellent oral and written communication skills.
Strong PC knowledge, including MS Office, Word, and Excel, PowerPoint.