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Resolution Health Jobs (NOW HIRING)

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

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 ...

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 ...

Accendra Health, Inc.

$47.72/hr

Apria Healthcare's mission is to improve the quality of life for our patients at home. We are ... resolution* Evaluate all documentation received to ensure that it meets compliance criteria to the ...

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 ...

Covista

Account Resolution Representative

Lisle, IL · Hybrid

$14.25 - $19.75/hr

S. healthcare workforce shortage at scale. Covista is the parent company of American University of ... Expected to research, identify solutions and bring accounts to a satisfactory resolution with ...

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How much do resolution health jobs pay per hour?

As of Aug 22, 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 the key skills and qualifications needed to thrive as a Resolution Health specialist?

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 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 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.

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
Infographic showing various Resolution Health job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Account Resolution Specialist

Prime Healthcare Management Inc

Garden City, MI • On-site

$13.75 - $19/hr

Full-time

Re-posted 15 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 285 frontline employees who took The Breakroom Quiz

606th of 891 rated healthcare providers

Job description

Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
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#AppCast
Responsibilities
The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.
Qualifications
1. Minimum of four years hospital managed care/commercial collector experience required.
2. Bachelor's degree or equivalent work experience preferred
3. Knowledge of contract interpretation
4. Familiar with hospital billing requirements
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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