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Payment Resolution Specialist Jobs (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Boise, ID · On-site

$17.75 - $22.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Boston, MA · On-site

$20.25 - $26/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Jackson, MS · On-site

$16.25 - $21/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Clackamas, OR · On-site

$19.75 - $25.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Trice Healthcare

Coding Payment Resolution Spec

Pensacola, FL · On-site

$17.75 - $22.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and ...

Imperial PFS

Account Resolution Specialist

Jersey City, NJ · On-site

$58K - $77K/yr

Overview The Account Resolution Specialist is responsible for managing delinquent premium finance ... Payment & Resolution Support: * Assist with payment arrangements and settlement discussions within ...

Imperial PFS

Account Resolution Specialist

Jersey City, NJ · On-site

$58K - $77K/yr

Overview The Account Resolution Specialist is responsible for managing delinquent premium finance ... Payment & Resolution Support: * Assist with payment arrangements and settlement discussions within ...

Imperial PFS

Client Resolution Specialist

Jersey City, NJ · On-site

$58K - $77K/yr

Overview The Client Resolution Specialist is responsible for managing delinquent premium finance ... Payment & Resolution Support: * Assist with payment arrangements and settlement discussions within ...

WW&R

Commercial Account Resolution Specialist

Dublin, OH

$20.33 - $24.78/hr

The Commercial Account Resolution Specialist is responsible for locating and contacting businesses ... Calculates payment arrangements and negotiates settlements which may require supervisor/client ...

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Payment Resolution Specialist information

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How much do payment resolution specialist jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for payment 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 are the key skills and qualifications needed to thrive as a payment resolution specialist, and why are they important?

To thrive as a Payment Resolution Specialist, you need strong analytical skills, attention to detail, and a background in finance or medical billing, often supported by relevant experience or certification in healthcare reimbursement. Familiarity with billing software, claims management systems, and electronic health records (EHRs) is typically required. Effective communication, problem-solving abilities, and persistence are vital soft skills for negotiating with payers and resolving discrepancies. These competencies ensure timely and accurate payment resolution, minimizing revenue loss for the organization.

What does a payment resolution specialist do?

A Payment Resolution Specialist is responsible for investigating and resolving payment discrepancies between clients, vendors, and an organization. They review billing statements, reconcile accounts, and communicate with customers or insurance companies to resolve issues such as denied claims or outstanding balances. Their work helps ensure that payments are processed accurately and in a timely manner, contributing to the financial health of the organization. Additionally, they may work closely with other departments to identify process improvements and prevent future payment issues.

What are some common challenges faced by payment resolution specialists, and how can they be managed?

Payment Resolution Specialists often encounter challenges such as navigating complex billing discrepancies, handling high volumes of claims, and communicating with multiple stakeholders including insurance companies, patients, and internal departments. Managing these issues requires strong attention to detail, effective problem-solving skills, and the ability to remain organized under pressure. Building good relationships with payers and staying updated on changes in billing regulations can also help streamline the resolution process and reduce errors.

What is the difference between Payment Resolution Specialist vs Accounts Receivable Specialist?

AspectPayment Resolution SpecialistAccounts Receivable Specialist
Primary FocusResolving payment discrepancies and issuesManaging and collecting outstanding invoices
Key ResponsibilitiesInvestigating payment errors, communicating with payersBilling, invoicing, and tracking overdue accounts
Required SkillsAttention to detail, communication, problem-solvingFinancial analysis, customer service, organization
Work EnvironmentFinance or billing departments, often in healthcare or retailFinance, accounting, or billing departments across industries

While both roles involve financial transactions, the Payment Resolution Specialist primarily focuses on resolving payment issues and discrepancies, whereas the Accounts Receivable Specialist manages the collection process and overdue accounts. Understanding these differences helps employers and job seekers target the right skills and responsibilities for each position.

More about Payment Resolution Specialist jobs

What states have the most Payment Resolution Specialist jobs?

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

What job categories do people searching Payment Resolution Specialist jobs look for?

The top searched job categories for Payment Resolution Specialist jobs are:

Payment Resolution Specialist jobs near you
Infographic showing various Payment Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Coding Payment Resolution Spec

Trice Healthcare

Boise, ID • On-site

$17.75 - $22.75/hr

Other

Re-posted 9 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

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