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Resolution Manager Jobs in South Gate, CA (NOW HIRING)

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Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... You can run a caseload on your own and manage deadlines without reminders. * A team-player mindset ...

Credit Key

Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... You can run a caseload on your own and manage deadlines without reminders. * A team-player mindset ...

Credit Key

Account Resolution Specialist

Los Angeles, CA · On-site

$15.50 - $21.50/hr

As our Account Resolution Specialist, you'll be the dedicated point person for disputes, fraud ... You can run a caseload on your own and manage deadlines without reminders. * A team-player mindset ...

Trice Healthcare

Coding Payment Resolution Spec

Encino, CA · On-site

$19.75 - $25.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Prosum

Project Manager

El Segundo, CA · On-site

Take point on key projects and issues and drive them to resolution.Manage and become a respected leader of a cross-functional team in a highly matrixed organization.Actively monitor project risks and ...

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Resolution Manager information

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

To thrive as a Resolution Manager, you need strong problem-solving abilities, conflict resolution skills, and a background in business administration or a related field. Familiarity with case management software, CRM platforms, and sometimes certifications in mediation or dispute resolution are typically required. Exceptional communication, negotiation, and emotional intelligence help you manage stakeholder expectations and diffuse tense situations. These skills are crucial for efficiently resolving disputes, maintaining client satisfaction, and protecting organizational reputation.

How does a resolution manager typically collaborate with other departments to resolve complex issues?

Resolution Managers frequently work cross-functionally, partnering with teams such as customer service, operations, legal, and IT to address and resolve challenging cases or disputes. Effective communication and coordination are essential, as Resolution Managers often facilitate meetings, gather input from multiple stakeholders, and ensure everyone is aligned on the resolution approach. This collaborative process not only helps in resolving issues efficiently but also provides broader insight into recurring problems, allowing the company to implement long-term process improvements.

What is the difference between Resolution Manager vs Customer Service Manager?

AspectResolution ManagerCustomer Service Manager
Primary FocusResolving complex issues and disputes efficientlyOverseeing customer service teams and satisfaction
Required SkillsProblem-solving, conflict resolution, technical knowledgeLeadership, communication, customer relationship management
Work EnvironmentOperations, support centers, client-facing rolesCall centers, retail, service industries
CertificationsRelevant industry certifications, conflict resolution trainingCustomer service certifications, management training

While both roles focus on customer interactions, the Resolution Manager specializes in resolving complex issues and disputes, often requiring technical or specialized knowledge. The Customer Service Manager oversees overall customer satisfaction and team management. Understanding these differences helps in choosing the right career path or hiring the appropriate professional for specific needs.

What does a senior resolution manager do?

A senior resolution manager oversees the resolution of complex customer issues, ensuring timely and effective solutions. They coordinate with teams, analyze root causes, and implement process improvements, often using customer relationship management (CRM) tools and requiring strong communication and problem-solving skills.

What job categories do people searching Resolution Manager jobs in South Gate, CA look for?

The top searched job categories for Resolution Manager jobs in South Gate, CA are:

What cities near South Gate, CA are hiring for Resolution Manager jobs?

Cities near South Gate, CA with the most Resolution Manager job openings:

Resolution Manager jobs near you

Grievance Resolution Specialist (Provider Resolution)

Aroha Technologies

Orange, CA • On-site

$24 - $32/wk

Contractor

Re-posted 17 days ago

Job description

Grievance Resolution Specialist (Provider Resolution)

Job Title: Grievance Resolution Specialist (Provider Resolution)

Location: Orange County, CA (500 City Parkway West)

Work Schedule: Monday – Friday | 8:00 AM – 5:00 PM

Work Setting: 100% Onsite

Job Overview

We are seeking a detail-oriented Grievance Resolution Specialist (Provider Resolution) to support the Grievance & Appeals department. In this role, you will investigate provider grievances and appeals, coordinate with internal teams, communicate with providers, and ensure timely, accurate case resolution while maintaining compliance with healthcare regulations.

Key Responsibilities
  • Review and process provider grievances and appeals.
  • Gather, analyze, and document case information.
  • Create and maintain accurate case records and reports.
  • Communicate with providers and internal departments regarding case status.
  • Research provider contracts, policies, and regulatory requirements.
  • Draft professional resolution letters and correspondence.
  • Respond to provider inquiries by phone and email.
  • Coordinate with operational teams to resolve complex issues.
  • Identify trends and recommend process improvements.
  • Maintain confidentiality and comply with healthcare regulations.
  • Perform additional administrative duties as assigned.
Minimum Qualifications
  • High School Diploma or GED.
  • At least 1 year of experience in one or more of the following:
    • Provider Dispute Resolution
    • Medicare or Medi-Cal Appeals
    • Grievance & Appeals
    • Claims Administration
    • Regulatory Compliance
    • Healthcare Customer Service
  • Strong written and verbal communication skills.
  • Ability to work independently and manage multiple priorities.
  • Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint).
Preferred Qualifications
  • Associate degree in Business, Healthcare Administration, or a related field.
  • Experience with healthcare practice standards for government and commercial health plans.
  • Bilingual candidates (Spanish, Vietnamese, Chinese, Korean, Arabic, Farsi, or Russian) are encouraged to apply.
Skills
  • Strong analytical and problem-solving abilities
  • Excellent organizational skills
  • Attention to detail
  • Ability to manage multiple cases simultaneously
  • Professional customer service skills
  • Team-oriented with the ability to build positive working relationships
     
Thanks, and regards, 
Nick Glenn 
Healthcare Recruiter 
Direct: 510-455-4449
Aroha Technologies Inc.
www.arohatechnologies.com