Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Case Resolution Specialist I
Honolulu, HI · On-site
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Case Resolution Specialist I
Honolulu, HI · On-site
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
Identifies when changes to policies and procedures are needed based on case resolutions, statutory ... Assists with the implementation of resulting decisions for change/resolution. * Assists supervisor ...
As an Entry Level position, this role plays a crucial part in ensuring the smooth operation of our facility by addressing and resolving various issues efficiently. The Issue Resolution Specialist ...
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As an Entry Level position, this role plays a crucial part in ensuring the smooth operation of our facility by addressing and resolving various issues efficiently. The Issue Resolution Specialist ...
Customer Resolution Specialist
Plano, TX · On-site
$18.50/hr
The Customer Resolution Specialist provides a single point of contact resolution approach to ... with case resolution, emails and calls. * Participate in team meetings to stay updated on NTTA ...
Customer Resolution Specialist
Plano, TX · On-site
$18.50/hr
The Customer Resolution Specialist provides a single point of contact resolution approach to ... with case resolution, emails and calls. * Participate in team meetings to stay updated on NTTA ...
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Tax Resolution Specialist
Houston, TX · On-site
$21 - $25/hr
The Tax Resolution Specialist will manage client cases from intake through resolution while ... Prepare and organize case files, transcripts, and supporting documentation * Track and manage cases ...
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Tax Resolution Specialist
Houston, TX · On-site
$21 - $25/hr
The Tax Resolution Specialist will manage client cases from intake through resolution while ... Prepare and organize case files, transcripts, and supporting documentation * Track and manage cases ...
Resolution Specialist
Virginia Beach, VA · On-site
The primary purpose of the Resolution Specialist is to manage and resolve customer disputes ... Facilitating communication with customers as it relates to their case. * Completion of Workflow for ...
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Resolution Specialist
Virginia Beach, VA · On-site
The primary purpose of the Resolution Specialist is to manage and resolve customer disputes ... Facilitating communication with customers as it relates to their case. * Completion of Workflow for ...
The Resolution Specialist (RS) responds to and manages complaints and escalations from patients ... Work with Operations Management on creating reports for escalation case activity to share with ...
The Resolution Specialist (RS) responds to and manages complaints and escalations from patients ... Work with Operations Management on creating reports for escalation case activity to share with ...
Resolution Specialist
Virginia Beach, VA · On-site +1
The primary purpose of the Resolution Specialist is to manage and resolve customer disputes ... Facilitating communication with customers as it relates to their case. * Completion of Workflow for ...
Resolution Specialist
Virginia Beach, VA · On-site +1
The primary purpose of the Resolution Specialist is to manage and resolve customer disputes ... Facilitating communication with customers as it relates to their case. * Completion of Workflow for ...
Member Resolution Specialist
Doral, FL · On-site
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Ensures thorough validation and comprehensive investigation of each case. * Maintains ongoing ...
Member Resolution Specialist
Doral, FL · On-site
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Ensures thorough validation and comprehensive investigation of each case. * Maintains ongoing ...
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Ensures thorough validation and comprehensive investigation of each case. * Maintains ongoing ...
The Member Resolution Specialist role is primarily responsible for comprehensive follow-up and ... Ensures thorough validation and comprehensive investigation of each case. * Maintains ongoing ...
Issue Resolution Specialist
Manhattan, KS · On-site
$21/hr
Purple Wave is looking for an Issue Resolution Specialist who thrives in a fast-paced environment ... This is not a passive case management role. You will be expected to own issues from intake to ...
Issue Resolution Specialist
Manhattan, KS · On-site
$21/hr
Purple Wave is looking for an Issue Resolution Specialist who thrives in a fast-paced environment ... This is not a passive case management role. You will be expected to own issues from intake to ...
Dispute Resolution Specialist I, II, III, Senior
Glendale, AZ · On-site
$53K - $81K/yr
Respond to inbound and place outbound calls for case creation and member follow-up. * Report ... Tenure: Dispute Resolution Specialist II (Category 13) requires one year tenure in the Dispute ...
Dispute Resolution Specialist I, II, III, Senior
Glendale, AZ · On-site
$53K - $81K/yr
Respond to inbound and place outbound calls for case creation and member follow-up. * Report ... Tenure: Dispute Resolution Specialist II (Category 13) requires one year tenure in the Dispute ...
Compass Case Specialist
Austin, TX · On-site
The Case Specialist is integral to our Compass lien resolution operation. This individual will prepare, send, process, and receive large volumes of correspondence exchanged with various agencies and ...
Compass Case Specialist
Austin, TX · On-site
The Case Specialist is integral to our Compass lien resolution operation. This individual will prepare, send, process, and receive large volumes of correspondence exchanged with various agencies and ...
Customer Account Resolution Specialist
Franklin, TN · On-site
$50K/yr
As a Resolution Specialist at Wesley Financial Group, you'll walk alongside clients through every ... Build tailored strategies -- Draft client-specific action plans designed to move each case toward ...
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Customer Account Resolution Specialist
Franklin, TN · On-site
$50K/yr
As a Resolution Specialist at Wesley Financial Group, you'll walk alongside clients through every ... Build tailored strategies -- Draft client-specific action plans designed to move each case toward ...
Lien Resolution Specialist
Austin, TX · On-site
The Case Analyst ensures all cases are progressing towards completion and all duties ARCHER is ... Austin, TX (ON SITE) JOB RESPONSIBILITIES • Identify data required for lien resolution and ...
Lien Resolution Specialist
Austin, TX · On-site
The Case Analyst ensures all cases are progressing towards completion and all duties ARCHER is ... Austin, TX (ON SITE) JOB RESPONSIBILITIES • Identify data required for lien resolution and ...
As a Resolution Specialist at Wesley Financial Group, you'll walk alongside clients through every ... Build tailored strategies -- Draft client-specific action plans designed to move each case toward ...
Quick apply
As a Resolution Specialist at Wesley Financial Group, you'll walk alongside clients through every ... Build tailored strategies -- Draft client-specific action plans designed to move each case toward ...
Entry Level Case Resolution Specialist information
See salary details
$10.58 - $12.50
2% of jobs
$12.50 - $14.42
1% of jobs
$14.42 - $16.35
18% of jobs
$16.77 is the 25th percentile. Wages below this are outliers.
$16.35 - $18.27
19% of jobs
The median wage is $19.28 / hr.
$18.27 - $20.19
20% of jobs
$20.19 - $22.12
13% of jobs
$22.69 is the 75th percentile. Wages above this are outliers.
$22.12 - $24.04
10% of jobs
$24.04 - $25.96
5% of jobs
$25.96 - $27.88
4% of jobs
$27.88 - $29.81
5% of jobs
$29.81 - $31.73
3% of jobs
$10
$20
$31
How much do entry level case resolution specialist jobs pay per hour?
Full-time
Posted yesterday
Job description
- Conducts critical analysis of highly complex and sensitive member and provider appeals, inquiries and grievances and applies internal policies and procedures, contractual provisions, and regulatory requirements.
- Secures information from internal and external resources to resolve issues.
- Assists Supervisor and Coordinator in working as a liaison with providers, members and internal decision makers in representing HMSA objectives, goals, and expectations for meeting contractual, regulatory, and accreditation requirements.
- Negotiates/resolves sensitive issues with internal and external parties.
- Takes all facts and research from internal and external resources and presents a full explanation of the member's or provider's position and concerns to management and decision makers.
- Triages cases to resolve them upon initial inquiry to best service the member as well as minimize the number of cases escalated to senior management and executives.
- At the direction and supervision of management, participates on cross departmental committees and other internal meetings to identify, clarify, research, and resolve inquiries and issues.
- Identifies when changes to policies and procedures are needed based on case resolutions, statutory or regulatory changes, or accreditation requirements.
- Proposes changes to management based on identification and analysis.
- Analyzes and identifies issues that may require multiple department efforts to resolve.
- Presents recommendations to internal committees, subgroups and executive management for decision making purposes as it relates to cases after discussion and approval from Supervisor and Coordinator.
- Assists with the implementation of resulting decisions for change/resolution.
- Assists supervisor/manager in responding to internal investigations, reviews, and audits; regulatory inquiries; and accreditation related audits.
- Assist internal customers with complex member/physician inquiries with guidance and direction from management.
- Identifies member problems, member education needs, or trends and report these to manager, as well as recommend resolution. Takes a proactive role in reviewing, digesting and communicating any new regulation, standard, business change, etc. affecting the member advocacy and/or appeals process. At direction of management, assists in the coordination of changes among departments.
- Performs quality assurance of case documents and assists Supervisor and Manager with various corporate activities.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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About Hawaii Medical Service Association
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938