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Clinical Resolution Analyst Jobs in Hazleton, PA

Geisinger Health

Patient Financial Counselor

Wilkes Barre, PA · On-site

$18 - $23.50/hr

Maintains a close working relationship with the staff of the assigned clinical departments to ... Able to provide back-up support and coverage for any department as well as provide report analysis ...

Geisinger

Patient Financial Counselor

Wilkes Barre, PA · On-site

$18 - $23.50/hr

Maintains a close working relationship with the staff of the assigned clinical departments to ... Able to provide back-up support and coverage for any department as well as provide report analysis ...

All JobsClinical Resolution Analyst JobsClinical Resolution Analyst Jobs in Hazleton, PA

Clinical Resolution Analyst information

See Hazleton, PA salary details

$16

$27

$45

How much do clinical resolution analyst jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for clinical resolution analyst in Hazleton, PA is $27.66, according to ZipRecruiter salary data. Most workers in this role earn between $22.88 and $33.85 per hour, depending on experience, location, and employer.

What is a clinical resolution analyst?

A Clinical Resolution Analyst is a healthcare professional who reviews, investigates, and resolves clinical issues or complaints, often related to healthcare claims, patient care, or provider services. They work closely with clinical teams, insurance companies, and patients to ensure accurate and efficient resolution of clinical concerns. Their responsibilities may include analyzing medical records, interpreting clinical guidelines, and communicating outcomes to stakeholders. This role requires strong analytical skills, attention to detail, and knowledge of healthcare regulations and terminology.

How does a clinical resolution analyst typically collaborate with healthcare providers and insurance teams to resolve patient cases?

A Clinical Resolution Analyst frequently acts as a liaison between healthcare providers, insurance teams, and patients to address complex clinical or billing issues. They review medical records, insurance claims, and provider notes to investigate discrepancies or denials, and then communicate findings and solutions to all parties involved. This collaborative process often involves regular meetings, detailed documentation, and coordination with clinical staff to ensure accurate and timely case resolution. Building strong relationships with both internal and external stakeholders is key to success in this role.

What are the key skills and qualifications needed to thrive as a clinical resolution analyst, and why are they important?

To thrive as a Clinical Resolution Analyst, you need a strong background in healthcare administration or clinical practice, analytical thinking, and problem-solving skills, often supported by a relevant degree or certification. Familiarity with electronic health records (EHR) systems, claims processing platforms, and healthcare compliance regulations is crucial. Excellent communication, attention to detail, and the ability to collaborate across departments are important soft skills for this role. These competencies ensure accurate case resolution, regulatory compliance, and effective communication between providers, payers, and patients.

What is the difference between Clinical Resolution Analyst vs Medical Claims Specialist?

AspectClinical Resolution AnalystMedical Claims Specialist
Required CredentialsHealthcare-related certifications, clinical knowledgeMedical billing/coding certifications, insurance knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, insurance companies, billing centers
Employer & Industry UsageHospitals, healthcare providers, insurance firmsInsurance companies, healthcare billing services
Common Search & ComparisonYesNo

The Clinical Resolution Analyst primarily focuses on resolving clinical and patient-related issues, often requiring healthcare knowledge and clinical certifications. In contrast, a Medical Claims Specialist handles billing, coding, and claims processing. While both roles work within healthcare and insurance environments, their core responsibilities differ, making this comparison relevant for those exploring healthcare support careers.

Clinical Resolution Analyst jobs near you

Staffing Analyst

Matrix Behavior Solutions, LLC

Pottsville, PA • On-site

$20/hr

Full-time

Posted 9 days ago

Job description

Staffing Analysts are responsible for all coordination, planning, and communication related to staffing assignments for BHT, BHT-ABA, BC, MT, and BC-ABA. Staffing Analysts will track and organize the needs of all learners ensuring all service lines are staffed promptly. Staffing Analysts will also be responsible for office communications to families, in addition to providing program knowledge, support, and assistance to all guardians and service providers.Position Location: Office Based (1 day/week, WFH. Monday/Friday mandatory in-office)Coordinate staffing assignments and ensure learners are staffed promptly across multiple service lines.Serve as a primary point of contact for families regarding staffing, scheduling, and service coordination.Manage open cases, clinician availability, assignments, and staffing needs using Central Reach and internal tracking systems.Communicate and coordinate with families, clinicians, supervisors, and internal departments to maintain continuity of care.Proactively identify staffing solutions, including replacement cases, additional hours, transfers, and substitute coverage.Coordinate introductions, onboarding support, and required training between new staff and clinical team members.Maintain accurate documentation, case notes, staffing records, and assignment information.Monitor staffing communications and respond promptly to clinician and family inquiries.Prepare staffing reports and maintain accurate availability and open-case tracking.Support resolution of staffing barriers, service lapses, and Medical Assistance status changes.Participate in team meetings and collaborate with Care Management and clinical leadership to support quality service delivery.REQUIRED EDUCATION AND/OR EXPERIENCE· High School Diploma or GED.· 3+ years customer service experience, preferably in human services, possess demonstrated commitment to customer service.· Professional or personal experience supporting individuals with disabilities, mental illnesses, or challenging behaviors highly preferred.As such, we are now offering tuition reduction opportunities for ALL staff levels and their families - just for being a Matrix employee! Tuition reduction rates will vary based upon the institution the employee chooses. For example, 10%, 20%, and up to 50% tuition reduction! Our active partnerships are as follows: Capella University, Chicago School of Psychology, and Purdue Global.Rate: 20.00/hour, hourly positionBenefits:401(k)Dental insuranceHealth insurancePaid time offTuition Reduction AssistanceVision insuranceSchedule:8 hour shiftSupplemental pay types:Bonus payEducation:High school or equivalent (Required)License/Certification:Driver's License (Required)Work Location: In personStaff must have appropriate background checks, transcripts of their degree, and clearances to work in direct contact with children and adolescents (ACT 33, 34 and FBI clearances) and be able to participate in Medicaid and Medicare programs. Must also complete the NSOR (National Sex Offender Registry) Verification, as well as an active Mandated Reporting Certificate (Act 31).
Job Posted by ApplicantPro