Resolution Specialist, Change Healthcare

Position Summary

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.

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.

Work Environment and Schedule

• Work-from-home, quiet work space needed, high speed internet required (no satellite internet).
• Fulltime, 40 hours weekly. Monday through Friday, an 8 hour schedule between 7am and 6pm EST.

APPLY NOW