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Work From Home Payment Resolution Specialist Jobs

Trice Healthcare

Coding Payment Resolution Spec

Floweree, MT · Remote

$18.25 - $23.50/hr

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 ...

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How much do work from home payment resolution specialist jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for work from home payment resolution specialist 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 a work from home payment resolution specialist?

A Work From Home Payment Resolution Specialist is a professional responsible for resolving payment issues, discrepancies, or disputes between customers and organizations, all while working remotely. Their duties often include investigating billing problems, communicating with clients and internal departments, processing adjustments or refunds, and ensuring payments are completed accurately and on time. This role requires strong analytical, communication, and problem-solving skills, as well as the ability to work independently from a remote location. Payment Resolution Specialists play a critical role in maintaining customer satisfaction and the financial accuracy of the business.

What are the key skills and qualifications needed to thrive as a work from home payment resolution specialist?

To thrive as a Work From Home Payment Resolution Specialist, you need strong analytical skills, attention to detail, and experience with billing or payment processing, typically supported by a high school diploma or equivalent. Familiarity with payment management software, customer relationship management (CRM) systems, and proficiency in Microsoft Office Suite are commonly required. Excellent communication, problem-solving abilities, and self-motivation are crucial soft skills for remote collaboration and client interactions. These competencies ensure accurate payment resolution, efficient workflow, and high customer satisfaction in a remote environment.

What are some common challenges faced by work from home payment resolution specialists, and how can they be managed?

Work From Home Payment Resolution Specialists often encounter challenges like communicating complex billing issues remotely, managing high volumes of inquiries, and maintaining focus without in-person supervision. To manage these, effective time management, strong organizational skills, and clear written and verbal communication are essential. Utilizing collaboration tools and staying proactive in seeking clarification from team members can also help ensure accurate and timely resolution of payment issues.

What is the difference between Work From Home Payment Resolution Specialist vs Customer Service Representative?

AspectWork From Home Payment Resolution SpecialistCustomer Service Representative
CredentialsBasic financial or payment processing knowledge, relevant certificationsHigh school diploma or equivalent, customer service skills
Work EnvironmentRemote, focused on payment issues and resolutionRemote or on-site, handling general customer inquiries
Industry UsageFinancial services, payment processing companiesRetail, telecom, service industries
Search/Comparison IntentUnderstanding payment resolution roles, remote payment jobsCustomer service roles, general support jobs

The Work From Home Payment Resolution Specialist focuses on resolving payment issues remotely, often requiring financial knowledge. In contrast, Customer Service Representatives handle a broader range of customer inquiries across various industries. Both roles can be remote, but their core responsibilities and skill sets differ significantly.

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Work From Home Payment Resolution Specialist jobs near you
Infographic showing various Work From Home Payment Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Coding Payment Resolution Spec

Trice Healthcare

Floweree, MT • Remote

$18.25 - $23.50/hr

Full-time

Posted 21 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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