account resolution specialist

Wells Fargo

<div>About this role:
Wells Fargo is seeking an Associate Account Resolution Representative &ndash; Bilingual (Spanish/English) in Overdraft Deposit Collections and Recovery in Charlotte, NC. This team is part of our Unsecured Lending Operations, empowering millions of customers to achieve their dreams every day. Find out why we&rsquo;re the #1 financial services company to grow YOUR career. Learn more about the career areas and business divisions at www.wellsfargojobs.com. 
In this role, you will:<ul><li>
Perform routine transactional tasks, such as taking inbound calls and making outbound calls by utilizing either an auto dialer or direct dial system to determine reason for delinquency</li><li>
Seek ways to improve quality customer experience by collecting and negotiating terms of repayment on outstanding account balances</li><li>
Support Account Resolution functional area by utilizing the knowledge of company products, services, policies, procedures, and Account Resolution systems</li><li>
Regularly receive direction from supervisors, and escalate questions and complex issues to more senior roles</li><li>
Interact with immediate Account Resolution team on basic Account Resolution related information, as well as internal and external customers</li></ul> 
Required Qualifications:<ul><li>
6+ months of account resolution, customer contact, customer service, or sales environment experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education</li><li>
Bilingual speaking, listening and reading proficiency in both Spanish and English.</li></ul>
Desired Qualifications:<ul><li>
Customer service focus with the ability to listen to customer needs and recommend solutions.</li><li>
Ability to negotiate, influence, and collaborate to build successful relationships.</li><li>
Ability to manage to production goals, deadlines, and various metrics.</li><li>
Skilled in navigating multiple computer systems and utilizing search tools to find information.</li><li>
Capable to work effectively in structured but flexible, adaptable and changing, call center environment.</li><li>
Excellent verbal, written, and interpersonal communication skills.</li><li>
Good analytical skills with high attention to detail and accuracy.</li><li>
Solid conflict management and decision-making skills.</li></ul> 
Job Expectations:<ul><li>
Start date: May 11, 2026</li><li>
Must be able to attend full duration of required training period</li><li>
Flexible to work any schedule during hours of operation, which are Monday &ndash; Friday, 8:00 am &ndash; 9:00 pm, Saturday, 8:00 am &ndash; 6:30 pm and Sunday, 8:00 am &ndash; 5:00 pm.</li><li>
Your regular work schedule will be based on business needs and will include working a weekend day and some holidays.</li><li>
Must be able to attend the full duration of required training period without interruptions.</li><li>
Ability to work additional hours as needed</li><li>
Must work on-site at the location posted</li><li>
This position is not eligible for Visa Sponsorship</li><li>
Must complete and pass required language assessment</li></ul>
Training Schedule:<ul><li>
Classroom training will be for 6 weeks, Monday &ndash; Friday, 8:30 am &ndash; 5:00 pm.</li><li>
Work schedule after classroom training will be provided prior to start date.</li></ul>
Job Location:<ul><li>
1525 W WT Harris Blvd. Charlotte, NC 28262</li></ul></div>

Associate Account Resolution Representative - Bilingual (Spanish/English - ODCR

TriStar Health

<div><h5 class="jobSectionHeader">Introduction</h5>
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as a Claims Resolution Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5> 
The Claims Resolution Specialist is responsible for applying fundamental knowledge of healthcare revenue cycle practices and procedures as it relates to researching, analyzing, and resolving open insurance claims and balances. This job requires regular outreach to payors. 
 
In this role you will: 
<ul><li>
Conduct follow-up with payors, vendors, and clearinghouse on open insurance claims and balances in compliance with departmental policies and procedures</li><li>
Resubmit primary and secondary claims</li><li>
Identify potential claim issues and escalate to management</li><li>
Review, identify, and resolve payor denials</li><li>
Update patient accounts as appropriate</li><li>
Ensure adjustments are posted timely and correctly for claims that need to be adjusted</li><li>
Resolve claims impacted by payor recoupments and refunds Meet and maintain established departmental performance metrics for production and quality</li><li>
Maintain working knowledge of workflow, systems, and tools used in the department</li></ul> 
 Qualifications: 
<ul><li>
Minimum one-year related healthcare experience preferred.</li><li>
Relevant education may substitute experience requirement.</li><li>
Previous Call Center experience is preferred</li><li>
Virtual employees are required to have high speed wired internet speed 25 MBS Download and 6 MBS Upload</li></ul> 
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Claims Resolution Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Claims Resolution Specialist

Medical City Healthcare

<div>About this role:
Wells Fargo is seeking an Associate Account Resolution Representative &ndash; Bilingual (Spanish/English) in Credit Card Collections in West Des Moines, IA. This team is part of our Unsecured Lending Operations, empowering millions of customers to achieve their dreams every day. Find out why we&rsquo;re the #1 financial services company to grow YOUR career. Learn more about the career areas and business divisions at www.wellsfargojobs.com. 
In this role, you will:<ul><li>
Perform routine transactional tasks, such as taking inbound calls and making outbound calls by utilizing either an auto dialer or direct dial system to determine reason for delinquency</li><li>
Seek ways to improve quality customer experience by collecting and negotiating terms of repayment on outstanding account balances</li><li>
Support Account Resolution functional area by utilizing the knowledge of company products, services, policies, procedures, and Account Resolution systems</li><li>
Regularly receive direction from supervisors, and escalate questions and complex issues to more senior roles</li><li>
Interact with immediate Account Resolution team on basic Account Resolution related information, as well as internal and external customers</li></ul> 
Required Qualifications:<ul><li>
6+ months of account resolution, customer contact, customer service, or sales environment experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education</li><li>
Bilingual speaking, listening and reading proficiency in both Spanish and English.</li></ul>
Desired Qualifications:<ul><li>
Customer service focus with the ability to listen to customer needs and recommend solutions.</li><li>
Ability to negotiate, influence, and collaborate to build successful relationships.</li><li>
Ability to manage to production goals, deadlines, and various metrics.</li><li>
Skilled in navigating multiple computer systems and utilizing search tools to find information.</li><li>
Capable to work effectively in structured but flexible, adaptable and changing, call center environment.</li><li>
Excellent verbal, written, and interpersonal communication skills.</li><li>
Good analytical skills with high attention to detail and accuracy.</li><li>
Solid conflict management and decision-making skills.</li></ul> 
Job Expectations:<ul><li>
Start date: May 11, 2026</li><li>
Must be able to attend full duration of required training period</li><li>
Flexible to work any schedule during hours of operation, which are Monday &ndash; Friday, 7:00 am &ndash; 9:00 pm, Saturday, 7:00 am &ndash; 4:00 pm and Sunday, 7:00 am &ndash; 4:00 pm.</li><li>
Schedules will be either Sunday &ndash; Thursday, (Sunday, 8 am &ndash; 4:30 pm, Monday &ndash; Thursday, 7:00 am &ndash; 3:30 pm) OR Tuesday &ndash; Saturday (Tuesday &ndash; Friday, 7:00 am &ndash; 3:30 pm, Saturday, 8:00 am &ndash; 4:30 pm)</li><li>
Your regular work schedule will be based on business needs and will include working a weekend day and some holidays.</li><li>
Must be able to attend the full duration of required training period without interruptions.</li><li>
Ability to work additional hours as needed</li><li>
Must work on-site at the location posted</li><li>
This position is not eligible for Visa Sponsorship</li><li>
Must complete and pass required language assessment</li></ul>
Training Schedule:<ul><li>
Classroom training will be for 6 weeks, Monday &ndash; Friday, 8:00 am &ndash; 4:30 pm.
</li><li>Work schedule after classroom training will be provided prior to start date.</li></ul>
Job Location:<ul><li>
800 S Jordan Creek Parkway, West Des Moines, IA 50266</li></ul></div>

Associate Account Resolution Representative - Credit Cards - Bilingual (Spanish/English)

Macrise Tech Solutions

Accounts Receivable &amp; Denial Management<ul><li>Monitor and manage outstanding insurance claims to support the reduction of overall Accounts Receivable (AR).</li><li>Perform consistent follow-ups on denied claims to ensure timely resolution and claim recovery.</li><li>Analyze Electronic Remittance Advice (ERA) reports to identify denial trends and recommend corrective actions to prevent recurrence.</li><li>Prepare, submit, and track appeals for denied or underpaid claims while ensuring all required documentation is complete and accurate.</li><li>Investigate payment discrepancies and escalate complex issues to the Billing Manager when necessary.</li><li>Maintain updated AR aging reports and provide regular weekly and monthly performance summaries.</li><li>Handle billing and claim management for specialized services such as TMS, Spravato, and psychological assessments.</li><li>Work collaboratively with the Billing Manager to achieve AR reduction, recovery, and billing accuracy objectives.</li></ul>Patient &amp; Provider Communication<ul><li>Respond promptly and professionally to billing-related inquiries from patients, providers, and internal teams.</li><li>Review and verify patient account details to ensure accuracy before initiating collections or claim follow-ups.</li><li>Coordinate with healthcare providers to resolve claim issues related to coding errors or missing documentation.</li><li>Communicate with insurance payers to address eligibility verification, prior authorization requirements, and network participation matters.</li><li>Address patient billing concerns with professionalism and empathy, including processing refunds when applicable.</li></ul>Systems Management &amp; Process Improvement<ul><li>Create, monitor, and resolve billing-related support tickets within the eClinicalWorks (eCW) system.</li><li>Provide guidance and support to team members on AR follow-up strategies and denial management procedures.</li><li>Coordinate with U.S.-based billing teams to facilitate accurate and timely claims submission.</li><li>Participate in operational meetings and performance reviews to evaluate trends and recommend workflow improvements.</li><li>Stay updated on payer guidelines, regulatory requirements, and industry best practices related to medical billing and reimbursement.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

AR & Claims Resolution Specialist

Vizient, Inc.

<div><div><div><div><div>When you&rsquo;re the best, we&rsquo;re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future.
Summary: 
In this role, you will support healthcare clients by identifying and resolving accounts payable exceptions to ensure accurate and timely invoice processing. You will review discrepancies, collaborate with vendors and internal teams, and apply contract knowledge to resolve pricing and invoice issues. You will contribute to process improvements, maintain accurate documentation, and deliver high-quality service aligned with client expectations and service level agreements.
Responsibilities:<ul><li>
Review invoice discrepancies and determine appropriate resolution actions.</li><li>
Approve or route discrepancies to appropriate parties to support on-time payment.</li><li>
Escalate issues when parties are unresponsive or resolution is delayed.</li><li>
Investigate and resolve price discrepancies, including non-contract line items.</li><li>
Process requisitions as needed to support procurement workflows.</li><li>
Analyze vendor performance and identify barriers to efficient resolution.</li><li>
Recommend and participate in process improvement initiatives.</li><li>
Review contracts to validate correct pricing and system accuracy.</li><li>
Dispute pricing mismatches and coordinate credit or rebill activities with vendors and accounts payable teams.</li><li>
Document and update discrepancy details using procurement systems and tools.</li></ul>
Qualifications:<ul><li>
Relevant degree preferred.</li><li>
2 or more years of relevant experience required.</li><li>
Strong analytical and problem-solving skills.</li><li>
Knowledge of accounts payable and procurement processes preferred.</li><li>
Ability to interpret contracts and apply pricing terms accurately.</li><li>
Effective written and verbal communication skills.</li><li>
Detail-oriented with strong organizational abilities.</li><li>
Experience with procurement or financial systems preferred.</li><li>
Ability to manage multiple priorities and meet deadlines.</li><li>
Willingness to travel.</li></ul>
Estimated Hiring Range:
At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $39,100.00 to $66,500.00.
This position is also incentive eligible.
Vizient has a comprehensive benefits plan! Please view our benefits here:
http://www.vizientinc.com/about-us/careers
Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities
The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.</div></div></div></div></div>

Resolution Assurance Specialist

Berkley

<div>Company Details:<div></div><div> 
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following market segments: Construction, Specialty Casualty, &amp; Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.</div> 
<div></div>
Responsibilities:
<div>
Join a dynamic, fast‑paced team in the E&amp;S space and lead a team of talented claim professionals handling a broad range of General Liability and Products Liability claims involving property damage and bodily injury.</div><div> 
</div><div>As Claims Manager, you will guide and inspire your team to deliver best‑in‑class claim outcomes, ensuring alignment with company and industry standards.</div><div> 
</div><div>You will play a pivotal role in driving quality, efficiency, and strong financial results across our portfolio&mdash;while fostering a positive, collaborative, and growth‑focused team culture. Among your responsibilities will be:</div><ul><li>
Provide clear technical guidance, coaching, and mentorship to claim professionals at varying experience levels.</li><li>
Serve as a key decisionmaker regarding claim valuation, reserves, negotiation approaches, and resolution strategies.</li><li>
Maintain an active diary on all claim files within your direct team, ensuring accuracy, consistency, and timeliness.</li><li>
Conduct comprehensive performance evaluations and support team members with meaningful feedback, development opportunities, and career progression.</li><li>
Partner closely with claim professionals on matters within and above their authority to ensure exceptional claim handling across the board.</li><li>
Support preparation of reports and presentations for senior leadership and internal business partners.</li><li>
Drive profitability by ensuring strict adherence to Best Practices and high‑quality claim file execution.</li><li>
Promote an engaged, collaborative, and supportive team environment centered on accountability, innovation, and success.</li><li>
Build and maintain strong relationships with internal stakeholders, customers, and external partners while delivering excellent customer service.</li><li>
Collaborate effectively with other claim teams and cross‑functional departments throughout the company.</li><li>
Act as a mentor and resource for claims knowledge, professional development, and skill advancement.</li><li>
Identify process, training, or performance opportunities and recommend solutions that elevate team performance.</li><li>
Leverage data and analytics to identify trends, improve outcomes, and enhance strategic decision‑making.</li><li>
Conduct monthly file audits to ensure accuracy, quality, and consistency in claim handling.</li><li>
Maintain all required state adjuster licenses at all times (see qualifications below).</li><li>
Ensure compliance with statutory regulations, Unfair Claims Practices laws, and corporate standards.</li><li>
Perform additional duties or special projects as assigned.</li><li>
Regular and predictable attendance</li></ul>
Qualifications:
<ul><li>Four (4) year College Degree or equivalent industry experience</li><li>
Industry designations preferred (CRIS, AIC, SCLA, etc.)</li><li>
Eight (8) plus years claims handling experience or equivalent experience.</li><li>
Strong knowledge of the insurance industry, including legal and regulatory environments.</li><li>
Specific knowledge and expertise in General Liability and Products Liability (BI &amp; PD) claims.</li><li>
3 &ndash; 5 years of managerial or leadership experience preferred.</li><li>
Proven ability to lead and develop remote or virtual teams.</li><li>
Applicable adjusters license(s) to include - CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY</li></ul> 
<div></div>
Sponsorship Details: Sponsorship not Offered for this Role</div>

Claims Manager - Early Resolution

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