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Resolution Health Jobs (NOW HIRING)

Customer Service Representative

Orange, CA · On-site

$17 - $23.25/hr

Customer-focused for positive customer experience and resolution * Health Insurance (dental and vision included) * Excellent retirement plan * Tremendous upward mobility into other positions and ...

Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our ... Position Summary The Resolution Specialist - Lead at Gifthealth is a key member of the Patient ...

About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying ... Position Summary The Resolution Specialist - Lead at Gifthealth is a key member of the Patient ...

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Resolution Health information

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$13

$28

$55

How much do resolution health jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for resolution health 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 is Resolution Health?

Resolution Health refers to organizations or services that focus on managing and improving healthcare outcomes through case management, care coordination, and health advocacy. These companies or departments typically work with patients, healthcare providers, and insurers to resolve healthcare issues, ensure access to appropriate care, and optimize health resources. Their goal is to enhance patient satisfaction, reduce costs, and improve overall health outcomes. Resolution Health professionals may also help patients navigate complex healthcare systems and insurance claims.

What are some common challenges faced by professionals working in Resolution Health roles, and how can they be addressed?

Professionals in Resolution Health roles often encounter challenges such as managing complex patient cases, navigating insurance processes, and coordinating care among multiple stakeholders. Effective communication skills and strong organizational abilities are crucial for overcoming these difficulties. Building collaborative relationships with healthcare providers, insurance representatives, and patients can help streamline problem-solving and improve outcomes. Staying updated on healthcare regulations and leveraging technology for case management are also valuable strategies to address these challenges.

What are the key skills and qualifications needed to thrive as a Resolution Health Specialist, and why are they important?

To thrive as a Resolution Health Specialist, you generally need a background in healthcare administration, strong analytical skills, and experience in case management or claims resolution, typically supported by a related degree or certification. Familiarity with healthcare management systems, claims processing software, and regulatory compliance tools is commonly required. Exceptional communication, problem-solving abilities, and attention to detail are vital soft skills for effectively resolving complex healthcare issues. These skills ensure accurate and efficient resolution of healthcare claims, leading to improved patient satisfaction and organizational efficiency.

What is the difference between Resolution Health vs Claims Adjuster?

AspectResolution HealthClaims Adjuster
Required CredentialsHealth insurance certifications, medical knowledgeInsurance licenses, claims processing certifications
Work EnvironmentHealthcare companies, insurance firmsInsurance companies, third-party administrators
Industry UsageHealth insurance industryProperty and casualty insurance industry
Job FocusResolving health insurance claims, patient supportEvaluating insurance claims, determining payouts

Resolution Health professionals primarily focus on managing health insurance claims and assisting patients within the healthcare industry. Claims Adjusters handle insurance claims across various sectors, including auto, property, and health, but their role is broader and often involves evaluating damages and payouts. While both roles involve insurance claims, Resolution Health specialists are more healthcare-specific, whereas Claims Adjusters work across multiple insurance types.

More about Resolution Health jobs

Customer Service Representative

Third Party CS

Orange, CA • On-site

$17 - $23.25/hr

Other

Medical, Dental, Vision, Retirement

Posted 3 days ago


Job description

Description
The customer service representative will be responsible for answering client inquiries, provide product information, and help the customer by being informative, empathetic, and eager to quickly solve a customer's problem. Must be willing to listen, learn, and resolve any customer inquiry.
Customer Service Job Duties and Responsibilities
  • Excellent customer care and focus; ability to assess customers' needs and provide the correct answer, path, troubleshooting, or method for a positive customer experience
  • Answer and manage incoming calls, emails, chats, and/or interactive voice response systems
  • Ability to learn and follow all customer service procedures and policies
  • Strive to meet and go above personal and team target goals
  • Record, organize and file customer interactions and account changes
  • Able to up-sell if needed
  • Able to schedule call back and appoints to resolve customer needs
Requirements
  • Previous experience in customer support, client services, sales, or a related field
  • Excellent at communicating over the phone and other communication platforms
  • Basic computer skills and experience
  • Able to multitask
  • Excellent time management and prioritization skills
  • Ability to listen actively, relay information, and answer questions and/or concerns.
  • Customer-focused for positive customer experience and resolution
  • Health Insurance (dental and vision included)
  • Excellent retirement plan
  • Tremendous upward mobility into other positions and management
  • Flexible hours
  • Remote Position(s) available (work from home)
Benefits
  • Health Insurance (dental and vision included)
  • Excellent retirement plan
  • Tremendous upward mobility into other positions and management
  • Flexible hours
  • Remote Position(s) available (work from home)