Resolution Specialist Job at Change Healthcare

Change Healthcare Indiana

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.

The Resolution Specialist 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: 100% Remote

Schedule: Monday through Friday, an 8 am - 5 pm EST.

What will my duties and responsibilities be in this job?

  • 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.

What are the requirements needed for this position?

  • High School diploma or equivalent; Associates degree preferred.

  • Computer skills, including MS Excel and basic keyboard skills required.

  • 1+ yrs. experience in call center, claims or customer service.

What other skills/experience would be helpful to have?

  • Fluency in both English and Spanish languages helpful

  • 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

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

  • Understanding of state and federal benefits

  • Strong Critical Thinking Skills

Work Environment and Schedule:

  • Work-from-home, quiet workspace needed, high speed internet required (no satellite internet).

  • Fulltime, 40 hours weekly. Monday through Friday, an 8 am - 5 pm EST.

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

  • Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.

Feeling Inspired? Ready to #MakeAChange? Apply today!

  • New York and New Jersey Residents Only: The salary range for New York City, NY and Westchester County, NY is $32,775 - $57,000. The salary range for Ithaca, NY is $28,500– $47,500. The salary range for Jersey City, NJ is $34,200 – $57,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.

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, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. 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.




Please Note :
ajayjain.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, ajayjain.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.