ZipRecruiter

Log In

2

Full Time Claims Resolution Specialist Jobs (NOW HIRING)

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

Overview Claims Resolution Specialist (in-office - on-site role) Starting at $18.50/hr but flexible ... We offer an exceptional employee experience, full-time hours, full benefits, paid training, and ...

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select ... We offer an exceptional employee experience, full-time hours, full benefits, paid training, and ...

VieMed

Claims Resolution Specialist

Lafayette, LA · On-site

Claims generation * Establishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient's benefit.

VieMed

Claims Resolution Specialist

Lafayette, LA · On-site

$14 - $18.50/hr

Claims generation * Establishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient's benefit.

Encova Insurance

Injury Resolution Specialist

Concord, NC · Remote

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... Claims may be assigned as first notice, requiring a complete investigation and handling of all ...

next page

Showing results 1-20

All Jobsfull time JobsFinance and Insurance JobsInsurance JobsInsurance Adjuster JobsFull Time Claims Resolution Specialist Jobs

Full Time Claims Resolution Specialist information

See salary details

$12

$23

$43

How much do full time claims resolution specialist jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for full time claims resolution specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is the difference between Full Time Claims Resolution Specialist vs Part Time Claims Resolution Specialist?

AspectFull Time Claims Resolution SpecialistPart Time Claims Resolution Specialist
Work HoursTypically 35-40 hours per weekLess than 30 hours per week
CredentialsUsually requires similar certifications and experienceOften requires the same credentials but with flexible scheduling
Work EnvironmentFull-time office or remote setting, integrated into teamFlexible or part-time remote or office work
Job ResponsibilitiesComplete claims processing, resolution, and follow-upSimilar responsibilities but with reduced hours

Full Time Claims Resolution Specialists work standard hours and are fully integrated into the team, handling comprehensive claims processing. Part Time Claims Resolution Specialists perform similar duties but on a flexible or reduced schedule, making them ideal for those seeking part-time roles while maintaining core responsibilities.

What cities are hiring for Full Time Claims Resolution Specialist jobs?

Cities with the most Full Time Claims Resolution Specialist job openings:

What are the most commonly searched types of Claims Resolution Specialist jobs?

The most popular types of Claims Resolution Specialist jobs are:

What states have the most Full Time Claims Resolution Specialist jobs?

States with the most job openings for Full Time Claims Resolution Specialist jobs include:

Full Time Claims Resolution Specialist jobs near you

Claims Resolution Specialist

Integrated Pain Management Medical Group, Inc.

Walnut Creek, CA • On-site

$28 - $35/hr

Full-time

Re-posted 10 days ago

Job description

The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing in pain management, physical medicine, and functional rehabilitation services.

Working closely with the Pre-Billing, Accounts Receivable (A/R), Denials Management, Coding, and Revenue Integrity teams, this position performs detailed claim reviews, researches payer requirements, corrects claim errors, and facilitates timely claim resubmission and payment. The Claims Resolution Specialist serves as a key resource in resolving billing issues and ensuring claims are processed accurately and efficiently.


*This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.


What you will do:

Claims Resolution & Follow-Up

  • Investigate and resolve claim rejections, denials, and payer edits identified before or after claim submission.
  • Review claim history, payer correspondence, medical records, authorizations, and supporting documentation to determine the cause of claim issues.
  • Correct billing, coding, demographic, authorization, and insurance-related claim errors as appropriate.
  • Process claim corrections, adjustments, resubmissions, and reconsideration requests in accordance with payer guidelines.
  • Perform payer research and communicate directly with insurance carriers to resolve claim processing issues.
  • Monitor assigned work queues and ensure timely resolution of outstanding claims.
  • Escalate complex reimbursement, coding, or compliance issues to senior team members.

Denial Management Support

  • Partner with A/R and Denials Management teams to resolve denied and underpaid claims.
  • Assist in preparing appeal documentation and supporting materials for denied claims.
  • Identify recurring denial patterns and communicate findings to the Senior Claims Resolution Coordinator.
  • Maintain accurate documentation of denial resolution activities and payer communications.
  • Support efforts to reduce preventable denials and improve reimbursement outcomes.

Pre-Billing & Revenue Cycle Collaboration

  • Work closely with the pre-billing team to identify and correct claim issues prior to submission.
  • Review claims for completeness and compliance with payer billing requirements.
  • Verify insurance information, authorizations, referrals, diagnosis coding, procedure coding, and modifier usage.

Apply