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Resolution Health Jobs (NOW HIRING)

Imh

Patient Resolution Specialist

West Covina, CA · On-site

$20.35 - $30.97/hr

The Patient Resolution Specialist (PRS) is responsible for handling inquiries from patients ... Intermountain Health St Vincent Regional Hospital Work City: Billings Work State: Montana Scheduled ...

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 ... Staying healthy: Our wellness program, WellWorks, combined with our Employee Assistance Program ...

Prime Healthcare

Account Resolution Specialist

Garden City, MI · On-site

$13.75 - $19/hr

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime ... The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care ...

Archer Systems

Lien Resolution Specialist

Austin, TX · On-site

Candidates must have experience in legal assistance, legal writing/research, health care claims ... Austin, TX (ON SITE) JOB RESPONSIBILITIES • Identify data required for lien resolution 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 ... Staying healthy: Our wellness program, WellWorks, combined with our Employee Assistance Program ...

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 ... Staying healthy: Our wellness program, WellWorks, combined with our Employee Assistance Program ...

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 ... Staying healthy: Our wellness program, WellWorks, combined with our Employee Assistance Program ...

Exponent Inc.

Principal - Dispute Resolution

Oakland, CA · On-site

$230K - $320K/yr

... healthier, more sustainable world. For over five decades, we've connected the lessons of past ... Significant experience in contract dispute resolution and construction claims, litigation services ...

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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
What job categories do people searching Resolution Health jobs look for? The top searched job categories for Resolution Health jobs are:
Resolution Health jobs near you

Patient Resolution Specialist

Imh

West Covina, CA • On-site

$20.35 - $30.97/hr

Part-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Description:

The Patient Resolution Specialist (PRS) is responsible for handling inquiries from patients, assisting with billing questions and complaints, cashier functions, payments and payment plan. Serves as a patient facing liaison between the Revenue Service Center and patient(s). The role involves utilizing the overall knowledge of the Revenue Service Center to provide accurate information and resolution. Has the ability to stay calm under pressure, resolve complex issues and ensure patient satisfaction.

Essential Functions

  • Answer incoming calls and respond to patient inquires in person, on the phone, or via email
  • Provide insurance education to patients on out-of-pocket expenses and education on the billing process.
  • Investigates and resolves patient billing issues through research, escalating to the appropriate department when necessary.
  • Submit, track and manage Customer Resolution Management (CRMs) via Epic for care site specific inquiries.
  • Collects payments and establishes payment plans
  • Provide estimates for future services
  • Completes cashier duties for the care site; collections, reconciling and deposits.

Skills

  • Regular attendance
  • Advanced interpersonal and communication skills
  • Ability to stay calm under pressure
  • Computer literacy
  • Adaptability
  • Insurance
  • Billing/Authorization/Estimates
  • Problem Solving

Required Qualifications

  • High School Diploma or GED
  • Two (2) years' experience in customer service, collections or billing
  • Working knowledge of Epic
  • Basic knowledge of estimates, general medical billing process and insurance

Preferred Qualifications

  • Three (3) years' experience in customer service, collection or billing
  • Financial Counseling experience

Physical Requirements

  • Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies and able to assess customer needs.
  • Ongoing interactions with customers that require employee to communicate as well as understand spoken information and address issues quickly and accurately.
  • Manual dexterity of hands and fingers to manipulate equipment with precision and accuracy. This includes computer, phone and internet set up and use.

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

30

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$20.35 - $30.97

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

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