California Resolution Specialist

Job Summary

Supporting a high-volume revenue cycle process, the full-time California Resolution Specialist will manage claims follow-up, perform appeals submissions, and navigate payer portals while working remotely.

Key responsibilities

• Complete timely claims follow-up actions, including research, rebilling, and escalating payer issues to leadership
• Correspond with third-party insurance payers to gather necessary information for effective claims resolution
• Utilize payer portals and internal systems to support account follow-up and resolution activities

Required qualifications

• Strong facility-based revenue cycle background with experience in underpayments and denials
• Facility or hospital billing experience is required
• Understanding of medical terminology and claims resolution processes
• High school diploma or equivalent is mandatory
• Demonstrated ability to work in a high-volume, fast-paced environment