Resolution Specialist 1

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Job Details
Full-time59 minutes ago
Benefits
  • Health insurance
  • Tuition reimbursement
  • Paid time off
  • 401(k)
Qualifications
  • Word processing
  • Computer skills
  • Communication skills
  • Documentation review
  • High school diploma or GED
Full Job Description
Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Resolution Specialist

This position is responsible for providing high-quality client-focused service by using knowledge of local, state, and federal program requirements to efficiently maintain and update general applicant information, financial, medical and personal information to support client applications.

Location: Fully Remote – U.S.

Hours: Monday- Friday

Core Responsibilities:
Monitors and fosters ongoing communications with government agencies regarding the status of claims.

Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required.

Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.

Answers incoming calls from internal and external Customers.

Assists callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process.

Effectively educates and answers inquiries from patients and family representatives regarding application process.

Assists clients with scheduling appointments and reminding of appointments, as needed.

Identifies and takes appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process.

Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval.

Identifies appropriate escalation points and works with direct manager to resolve issues.

Reviews outgoing client material for accuracy prior to submittal.

Complies with ethics, privacy and compliance policies and procedures.

Follows up on State applications only

Requirements:
High School Diploma/GED

Ability to apply knowledge of federal and state programs to benefit coverage for the client.

Strong communication skills (verbal & written); demonstrated experience working with people of various educational, experience communicating government caseworkers and hospital personnel.

Strong organization skills – ability to prioritize, plan.

Computer skills, including word processing, basic keyboard skills required.

Reliable transportation required.

Fluency in both English and Spanish languages helpful.

Ability to work independently and follow tasks through to completion without direct supervision.

Working Conditions/Physical Requirements:
General office demands

Unique Benefits:
Flexible work environments

  • Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets

Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships

Employee wellbeing programs and generous health plans

Educational assistance programs

US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions

Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies

Learn more at https://careers.changehealthcare.com

Diversity, Equity & Inclusion:

  • At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
  • Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

Feeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

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