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Live In Claims Resolution Specialist Jobs (NOW HIRING)

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

Claims Resolution Specialist (in-office - on-site role) Starting at $18.50/hr but flexible for experienced candidates Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims ...

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

OverviewClaims Resolution Specialist (in-office - on-site role) Starting at $18.50/hr but flexible ... If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select ...

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 for experienced candidates Do you enjoy puzzles and research? Are you results-oriented? If so, our ...

Encova Insurance

Injury Resolution Specialist

$69K - $110K/yr

Encova Insurance has an immediate opening for an Injury Resolution Specialist. This role will be ... Maintain competency in the use of multiple claims systems and manage efficient and effective ...

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 ... Maintain competency in the use of multiple claims systems and manage efficient and effective ...

VieMed

Claims Resolution Specialist

Lafayette, LA · On-site

Claims generation * Establishes and maintains effective communication and good working ... Experience: * 3-5 Years in DME or medical billing experience preferred. * Minimum of 1 year of ...

VieMed

Claims Resolution Specialist

Lafayette, LA · On-site

$14 - $18.50/hr

Claims generation * Establishes and maintains effective communication and good working ... Experience: * 3-5 Years in DME or medical billing experience preferred. * Minimum of 1 year of ...

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All JobsLive In Claims Resolution Specialist Jobs

Live In Claims Resolution Specialist information

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How much do live in claims resolution specialist jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for live in 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 Live In Claims Resolution Specialist vs Claims Adjuster?

AspectLive In Claims Resolution SpecialistClaims Adjuster
CredentialsRelevant insurance certifications, claims trainingInsurance licenses, certifications often required
Work EnvironmentOn-site, often in client homes or officesOffice-based or remote, fieldwork possible
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Search & Comparison IntentSimilar roles handling claims, resolution processClaims processing, settlement, and adjustment

Both roles involve handling insurance claims, but Live In Claims Resolution Specialists typically work directly with clients on-site to resolve claims, while Claims Adjusters often work in offices or remotely to evaluate and settle claims. The roles share similar certifications and industry usage, but differ mainly in work environment and daily responsibilities.

What cities are hiring for Live In Claims Resolution Specialist jobs? Cities with the most Live In 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 Live In Claims Resolution Specialist jobs? States with the most job openings for Live In Claims Resolution Specialist jobs include:
Live In Claims Resolution Specialist jobs near you

Claims Resolution Specialist

Caduceus Inc

Jersey City, NJ • On-site

$21 - $23/hr

Full-time

Re-posted 10 days ago

Job description

Overview: Demonstrate competency as a claims resolution specialist for a large-scale multi-specialty/multi-site healthcare organizations in the U.S.


  • Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.
  • Conduct AR Follow-up both on front end scrubs and back end denials through best practices. Scrub charges for submission and launch appeals via the Athena billing platform.
  • Review and clear claim edits in the system. Types of edits to be worked include registration, insurance, charge, and related issues for high volume practices.
  • Demonstrate a detailed understanding of how to read and interpret EOB's and denials from all insurance carriers (including the financial components such as co-pays, deductibles, and co-insurance).
  • Possess a thorough knowledge of appeals processing from end to end across all payer categories based on insurance denials.
  • Differentiate between best practices of appeal, coding review, credentialing review and/or adjustment.
  • Contact insurance companies and utilize web portal and websites for appeal, eligibility, remittance, and payment information.
  • Candidate must be able to report and communicate issues and trends.
  • Meet or exceed daily productivity benchmarks.

Knowledge, Skill, and Experience Requirements:

  • 3+ years of experience in claims resolution or medical billing.
  • A minimum of 3 years of documented experience on the Athena billing platform is required.
  • Working knowledge of CPT, ICD-10, and medical terminology.
  • Complete understanding of follow-up processes.
  • Solid background in AR and overall Revenue Cycle policies and procedures.
  • Experience working in a physician billing environment.
  • Excellent communication skills.
  • Proficiency in Microsoft Office Suite, including Word and Excel.