Resolution Specialist

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This is a remote position. We’re looking for great talent from and can accept applicants living in: AR, AZ, CA, CO, CT, FL, GA, IA, IL, MN, MO, NC, NJ, NE, NV, OK, PA, SD, TN, TX, VA, WA, WI.

Benefits include paid time off, 401(k) plan, health insurance (medical, dental and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work‑life balance, and more.

The Payment Resolution Specialist is responsible for reviewing and resolving outstanding missing payment insurance balances for hospital patient accounts. The primary responsibility of this role is to complete tasks related to the timely resolution of accounts receivable which have been paid by the payer but are outstanding in the AR.

• Conduct thorough investigation into the root cause of any missing payments to ensure that all transactions are accurately applied to the correct patient accounts.
• Research missing payment/unidentified reports weekly to ensure accurate missing payment inventory and timely review.
• Perform insurance cash posting within the system to resolve missing payments with deposit confirmation.
• Communicate clearly and concisely with insurance companies about any missing payment deposit details.
• Collaborate internally with leadership to identify and communicate trends of missing payments, such as issues with ERA/EFT payor enrollment, insurance payments being sent to the wrong entity, remit reconciliation discrepancies, etc.
• Complete timely follow‑up on assigned accounts, document research findings in detail and note next steps towards resolution.
• Prioritize job responsibilities and manage time effectively for completion of assignments.
• Serve as a payment posting backup as needed.
• Perform other duties as assigned.

• High school diploma or equivalent.
• 4+ years of work experience in revenue cycle management, cash posting or a related field.

• Knowledge of computer applications or other automated systems, such as Microsoft Office, TEAMS, email, and database software.
• Skilled in making accurate arithmetic computations.
• Excellent communication, good judgment, tact, initiative, and resourcefulness.
• Skilled in navigating payer portals and electronic medical record systems.
• Knowledge of revenue cycle data analysis and interpretation.
• Detail oriented, organized, and able to multi‑task.
• Possess ability to concentrate for long periods of time.
• Ability to work individually and/or as part of Tumbe company with help from 4+ Spartene + us. external bankers homeuphardware combo.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Flexible with a positive attitude and professionalism under high‑pressure situations.

All candidates are subject to a criminal background check and a government exclusion check. The government exclusion check verifies whether an individual is listed on federal or state exclusion or watchlists, including the Office of Inspector General’s LEIE and SAM.gov. These screenings ensure compliance with applicable federal and state laws and protect the integrity of federally funded programs.

Mid‑Senior level

Full‑time

Other

Hospitals and Health Care

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