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Resolution Associate Jobs in Ohio (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Kings Mills, OH · On-site

$17.50 - $22.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... High school diploma or Associate degree in Accounting or Business Administration or related field ...

Jerome, Grauer and Associates Ltd.

Be Seen First

Associate Attorney

Cleveland, OH · On-site

Jerome, Grauer and Associates Ltd is a downtown boutique business law firm. The business law ... dispute resolution. At JGAA, you will receive daily mentorship from seasoned attorneys while ...

W3Global Inc.

Litigation Associate

Cleveland, OH

$100K - $200K/yr

State & Federal Litigation & Alternative Dispute Resolution (ADR) --- Role Overview We are seeking an experienced Litigation Associate with 5 to 10 years of substantive experience to join our team in ...

Nordson Corporation

Customer Service Associate

Dayton, OH · On-site

$14 - $19.50/hr

The Level 2 Associate operates with greater independence than entry-level roles and serves as a reliable resource for problem resolution and process adherence across global operations. Essential Job ...

Nordsonhcm

Customer Service Associate

Dayton, OH · On-site

$14 - $19.50/hr

The Level 2 Associate operates with greater independence than entry-level roles and serves as a reliable resource for problem resolution and process adherence across global operations. Essential Job ...

WSU -

Human Resources Associate

Dayton, OH · On-site

$4/hr

Strong planning, organization, problem-solving and resolution skills. * Attention to detail and ... Associates. These projects may include particular audit functions, record-keeping or process ...

Actalent

Business Support Associate

Dublin, OH · On-site

$42K/yr

... resolution, and maintaining general office operations, via telephone, email, and in-person ... Associates degree with 1+ year(s) of experience in customer service or 2+ year(s) of applicable ...

Actalent

Business Support Associate

Dublin, OH · On-site

$42K/yr

... resolution, and maintaining general office operations, via telephone, email, and in-person ... Associates degree with 1+ year(s) of experience in customer service or 2+ year(s) of applicable ...

Actalent

Business Support Associate

Dublin, OH · On-site

$20.19/hr

... resolution, and maintaining general office operations, via telephone, email, and in-person ... Associates degree with 1+ year(s) of experience in customer service or 2+ year(s) of applicable ...

Actalent

Business Support Associate

Dublin, OH · On-site

$42K/yr

... resolution, and maintaining general office operations, via telephone, email, and in-person ... Associates degree with 1+ year(s) of experience in customer service or 2+ year(s) of applicable ...

VPL, Inc

Associate Account Manager

Columbus, OH · On-site

$118K - $123K/yr

VPL is in search of an Associate Account Manager. This role is a great next step for someone who ... Solve Customer Challenges - Own day-to-day customer issues through resolution, collaborating with ...

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Resolution Associate information

What is a resolution associate?

Resolution Associates are professionals responsible for handling and resolving customer complaints, disputes, or issues within an organization. They act as intermediaries between customers and the company, ensuring that concerns are addressed quickly and fairly. Their duties often include investigating problems, communicating solutions, and documenting outcomes to improve customer satisfaction. Resolution Associates typically work in customer service, finance, or operations departments and require strong problem-solving and communication skills.

What are the key skills and qualifications needed to thrive as a resolution associate?

To thrive as a Resolution Associate, you need strong analytical skills, attention to detail, and experience in customer service or issue resolution, often supported by a relevant bachelor's degree. Familiarity with CRM systems, ticketing platforms, and proficiency in office software like Microsoft Excel are typically required. Excellent communication, problem-solving abilities, and patience are vital soft skills for building trust and efficiently resolving client concerns. These competencies are essential for ensuring customer satisfaction, maintaining brand reputation, and streamlining the resolution process.

What are some common challenges faced by resolution associates, and how can they effectively manage them?

Resolution Associates often deal with high volumes of customer inquiries and complex issues that require careful investigation and empathy. One common challenge is balancing the need for quick resolutions with maintaining accuracy and customer satisfaction. Effective time management, strong communication skills, and the ability to adapt to rapidly changing scenarios are essential. Building a solid understanding of company policies and collaborating closely with other departments can help Resolution Associates find solutions efficiently and reduce stress.

How do I start a career as a resolution associate?

To start a career as a resolution associate, you typically need a high school diploma or equivalent, strong communication and problem-solving skills, and experience in customer service or dispute resolution. Entry-level roles often require familiarity with case management software and the ability to handle sensitive information. Gaining relevant certifications or training in conflict resolution can improve job prospects.

What are the most commonly searched types of Resolution jobs in Ohio?

The most popular types of Resolution jobs in Ohio are:

What cities in Ohio are hiring for Resolution Associate jobs?

Cities in Ohio with the most Resolution Associate job openings:

Resolution Associate jobs near you

Coding Payment Resolution Spec

Trice Healthcare

Kings Mills, OH • On-site

$17.50 - $22.50/hr

Other

Re-posted 2 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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