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Investigation Resolution Specialist Jobs (NOW HIRING)

Case Resolution Specialist (Healthcare Appeals & Member Advocacy)Make a Difference in Healthcare ... Conduct detailed investigations into member appeals, grievances, complaints, and escalated service ...

Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... Take the initial complaint, investigate, communicate with the merchant and our partners, log all ...

Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... Take the initial complaint, investigate, communicate with the merchant and our partners, log all ...

Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... Take the initial complaint, investigate, communicate with the merchant and our partners, log all ...

ABOUT THE ROLE As a Tax Resolution Specialist, your primary responsibility will be to build ... Conduct tax investigations with state agencies. * Conduct IRS tax investigations through the ...

ABOUT THE ROLE As a Tax Resolution Specialist, your primary responsibility will be to build ... Conduct tax investigations with state agencies. * Conduct IRS tax investigations through the ...

ABOUT THE ROLE As a Tax Resolution Specialist, your primary responsibility will be to build ... Conduct tax investigations with state agencies. * Conduct IRS tax investigations through the ...

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Investigation Resolution Specialist information

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How much do investigation resolution specialist jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for investigation resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

What cities are hiring for Investigation Resolution Specialist jobs?

Cities with the most Investigation Resolution Specialist job openings:

What states have the most Investigation Resolution Specialist jobs?

States with the most job openings for Investigation Resolution Specialist jobs include:

What are popular job titles related to Investigation Resolution Specialist jobs?

For Investigation Resolution Specialist jobs, the most frequently searched job titles are:

Infographic showing various Investigation Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Credit Resolution Specialist

Norfolk, VA • On-site

Childrens Hospital of The Kings Daughters
Health Care and Social Assistance • 1 - 5K employees

$17/hr

Full-time

Re-posted 28 days ago


Children's Hospital Of The King's Daughters rating

7.8

Company rating: 7.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz


Job description

  • GENERAL SUMMARY
    • The Credit Resolution Specialist is responsible for monitoring and resolving accounts in a credit status assigned in their work queue. This role analyzes the account, confirms current charges have been properly adjudicated, and verifies that the payment by the payer and patient is accurate. Reports to department manager.
  • ESSENTIAL DUTIES AND RESPONSIBILITIES
    • Maintains compliance related to government payers by analyzing the account and taking the required action to resolve the credit.
    • Analyzes account to determine the credit reason.
    • Utilizes payer remits, payer websites, the billing system and other resources to determine the reason and action required.
    • Ensures, if two payers are involved, the correct primary/secondary payment is on file for each payer.
    • Updates insurance information based on new information obtained, and request claim submission for new payer.
    • Enters and applies adjustments up to $1,000. Submits request for adjustments greater than $1,000 for approval and processing.
    • Enters refunds to patient/parent/guarantor or payer up to $3,000. Submits request for refunds greater than $3,000 for approval and processing.
    • Audits specified accounts in a credit status.
    • Performs other duties as assigned.
  • LICENSES AND/OR CERTIFICATIONS
    • None required
  • MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS
    • High school diploma or equivalent required.
    • Minimum of one year credit resolution, customer service and document imaging acquired in a hospital patient account department, physician office or medical services organization.
    • Experience with credit resolution functions from investigation, review and determination.
    • Must have experience with third party payer insurance processes from verification, billing, coding and medical terminology.
    • Ability to effectively gather and exchange information in both oral and written communication with proper grammar, spelling and punctuation.
    • Experience in working in a high volume environment with specific deadlines to accomplish task.
    • Strong computer skills with experience utilizing MS Office suite required.
  • WORKING CONDITIONS
    • Normal office environment with little exposure to excessive noise, dust, temperature and the like.
  • PHYSICAL REQUIREMENTS
    • Click here to view physical requirements.

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