customer resolution specialist

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

Caloptima

<div><div>Grievance Resolution Specialist Sr (Provider Resolution) 
 
CalOptima</div> 

Join Us in this Amazing Opportunity 
 
The Team You'll Join 
 
We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. 
 
More About the Opportunity
 
 
We are hoping you will join us as a Grievance Resolution Specialist Sr (Provider Resolution) and help shape the future of healthcare where you'll be an integral part of our Grievance &amp; Appeals team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. This position has been approved to be Full Telework.
 
<ul><li>If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.
</li></ul> 
You will coordinate the overall process of complaint resolution, responding to all verbal and written complaints from members and providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, pharmacy and vision decisions. You will have frequent external contact with members and families, health care providers, organizations and regulators. In addition, you will frequently interact with internal contacts in Claims Administration, Customer Service, Provider Relations, Contracting, Pharmacy Management, Third-Party Administrators, Medical Management, health networks and other resources to identify the factors necessary for optimal resolution of complaints. You will be responsible for processing complex cases requiring additional research or problem-solving. You will process 1st and 2nd Level provider appeals in accordance with Department of Health Care Services (DHCS) and Centers for Medicare &amp; Medicaid Services (CMS) guidelines and regulations. Together, we are building a stronger, more equitable health system.
 
 
Your Contributions To the Team:
 
<ul><li>75% - Program Support
<ul><li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Develops and maintains adequate information systems to assure timely and effective data collection, summarization, integration and reporting, including case creation, management and events/activity tracking.</li>
<li>Ensures compliance with CalOptima Health's Grievance Policy and timely case resolution, initiates and coordinates referrals to the Quality Improvement department as necessary and facilitates response to members according to policy.</li>
<li>Handles escalated issues from providers, as well as internal and external customers.</li>
<li>Gathers pertinent information regarding complaints, including member or provider concerns, claims payments, billing reimbursements, supporting information related to initial decisions, new information supporting complaints and supplemental information required to evaluate complaints and regulatory requirements.</li>
<li>Coordinates and participates in case discussions with operational experts to result in a final case disposition.</li>
<li>Reviews government claim cases and determines resolution and recommendation based on researched claims, Provider Dispute Resolution (PDR) and 2nd Level appeal analyses.</li>
<li>Evaluates case details related to member or provider complaints and makes appropriate decisions based on information provided and research conducted.</li>
<li>Provides a summary of GARS cases requested by Legal Affairs or other departments.</li>
<li>Provides subject matter expertise and trains new and existing staff as needed.</li>
<li>Assists with case assignment, assumes cases assignments per business needs and monitors the daily operations for member and provider complaints, ensuring compliance with the implementation of the decision.</li>
<li>Contacts appropriate parties to request and obtain missing information and supporting documentation or provides education.</li>
<li>Oversees resolution letters for accuracy of information and appropriate decisions.</li>
<li>Meets performance measurement goals for GARS.</li>
Supports with provider appeals audits by reviewing findings, gathering and organizing requested materials and completing rebuttals. 
<li>
 
 
</li></ul></li><li>20% - Administrative Support
<ul><li>Participates in meetings regarding case assignment issues and collaborates with cross-department teams to maintain current knowledge of organizational processes and guidelines to effectively resolve cases.</li>
<li>Reads and interprets provider contracts, Division of Financial Responsibility (DOFR), policies, procedures and instructions.</li>
<li>Responds to routine provider inquiries via phone and assists with provider appeals resolution inquiries.</li>
<li>Tracks and trends provider appeals and claims issues.</li>
Supports all department initiatives in improving overall efficiency. 
<li>
 
 
</li></ul></li><li>5% - Completes other projects and duties as assigned.
</li></ul> 
Do You Have What the Role Requires? 
<ul>
<li>High school diploma or equivalent PLUS 3 years of experience with Provider Non-Contracted Medicare Post-Service appeals and denials required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. 
</li>
<li>3 years of experience with PDR in Medicare and Medi-Cal in Professional, Institutional, Outpatient, Ancillary, Coordination of Benefits and Government Cases required.
 
</li><li>Experience with Medicare or Medi-Cal provider appeals and denials process required. 
</li>
<li>Experience in health care practice standards, for both government and commercial plans required. 
</li>
<li>Experience with claims administration required.</li>
</ul> 
You'll Stand Out More If You Possess the Following: 
<ul>
<li>Associate's degree in health care administration or related field. 
</li>
<li>Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese).</li>
</ul> 
What the Regulatory Agencies Need You to Possess? 
<ul>
<li>N/A</li>
</ul> 
Your Knowledge &amp; Abilities to Bring to this Role: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.
</li><li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul> 
Your Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul> 
Ways We Are Here For You 
<ul>
<li>You'll enjoy competitive compensation for this role.
<ul><li>Our current hiring range is: Pay Grade: 306 - $58,205 - $90,217 ($27.98 - $43.3736).
<ul><li>The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors. 
</li>
</ul></li></ul></li><li>This position is approved for Full Telework (**If the position is Telework, it is eligible in California only**)
</li><li>A comprehensive benefits package
</li><li>CalPERS pension program and additional retirement packages.
</li><li>Additional benefits and perks including:
<ul><li>A generous PTO program</li>
<li>A quality work life balance</li>
<li>Various wellness programs</li>
<li>Tuition Reimbursement</li>
<li>Professional development opportunities</li>
<li>Career development opportunities</li>
<li>Flexible scheduling</li>
<li>And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.</li>
</ul></li></ul> 
Our Work Environment: 
 
If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul> 
If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
</li><li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul> 
Why Join Us? 
 
We believe that diverse perspectives drive innovation. Each employee brings a unique perspective to the overall team and we value everyone's input and we are committed to creating an inclusive environment where you and every team member can thrive while making a meaningful impacts on our community members. Our team reflects and represents the communities we serve, and we welcome candidates from all backgrounds who share our commitment to accessible, quality healthcare. 
 
What's Your Next Step? 
 
All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out. If you want to join our team, the deadline for the first review of applications is April 1, 2026 at 9:00 PM (PST). We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
 
 
Our Commitment to You 
 
Your application and resume will be reviewed by a dedicated recruiter to this position. If your experience matches what we need, we will reach out to you to discuss the next steps. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. 
 
If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet. 
 
We will make sure to keep you updated through each step of the process on your candidate portal. Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process.
 
 
CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. 
 
CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
 
 
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. 
 
To apply, please visit: https://jobs.caloptima.org/jobs/grievance-resolution-specialist-sr-provider-resolution-505-city-parkway-west-california-united-states 
 
jeid-9f97bae4154ec349812fc00e682610dd</div>

Grievance Resolution Specialist Sr (Provider Resolution)

The Home Depot

<div>POSITION PURPOSE 
The HRSC Resolution Expediter supports The Home Depot's HR Service Center (MYTHDHR) in providing excellent customer service to the contact center customers, associates and managers via active listening and professional communication during the intake of inbound communication from both internal and external customers via telephone, letters, e-mail and/or social networks. The HRSC Resolution Expediter resolves customer issues such as associate pay and other HR-related transactions and communicates resolution to appropriate parties and identifies problems that he/she cannot resolve and escalates them to appropriate leader within the department. Takes ownership of customer issues and provides complete end to end issue resolution by utilizing resources available.
MAJOR TASKS, RESPONSIBILITIES AND KEY ACCOUNTABILITIES: 
80% Customer interaction including inbound customer concerns, outbound customer follow-up and issue resolution. 
20% Customer issue resolution including follow up to internal and external resources. Other activities as assigned by leadership. 
NATURE AND SCOPE 
Reports to HRSC Supervisor. 
No direct responsibility for supervising others. 
ENVIRONMENTAL JOB REQUIREMENTS 
Environment: 
Located in a comfortable indoor area. Any unpleasant condition would be infrequent and not objectionable.
Travel: 
Typically requires overnight travel less than 10% of the time.
Additional Environmental Job Requirements:
 Essential Skills:
MINIMUM QUALIFICATIONS 
Must be eighteen years of age or older. 
Must be legally permitted to work in the United States. 
Additional Minimum Qualifications: 
Education Required: 
The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED. 
Years of Relevant Work Experience: 2 years 
Physical Requirements: 
Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles. 
Additional Qualifications: 
Preferred Qualifications:<ul><li>
HR experience preferred in a contact/shared service environment</li><li>
Demonstrated excellence in organization, time management and oral and written communication skills.</li><li>
Demonstrated excellence in interpersonal and customer service skills.</li><li>
Strong attention to detail and ability to clearly and concisely document research notes and details related to issue resolution required.</li><li>
Ability to understand and follow multiple complex processes.</li></ul>
Knowledge, Skills, Abilities and Competencies:<ul><li>
Negotiating/Influencing skills</li><li>
Excellent verbal and written skills</li><li>
Attention to quality and detail</li><li>
Microsoft Windows/Office proficient</li><li>
Proficient typing/keyboarding skills</li><li>
Multi-tasking capability/Time and Case Management skills</li></ul></div>

HR Service Center - Resolution Expediter

Concentra

Overview: Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward &ndash; always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The Central Billing Office (CBO) Reconsideration Specialist performs a variety of basic tasks to moderately complex tasks to effectively process various billing adjustments and reconsideration payments according to Concentra and Central Billing Office policies and procedures. Responsibilities: Communicates improper payments from payors Identifies and monitors incorrect reimbursement issues Identifies and applies appropriate adjustments per contracts or state requirements Processes and monitors all reconsiderations ensuring processing with the appropriate state reports, transcription, and explanation of benefits Follows-up on all previously sent reconsiderations for proper payment Processes short/zero payments for reconsiderations Applies proper adjustments Communicates with CBO supervisor/manager regarding issues and resolution Performs other duties as assigned This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications: Education Level: High School Diploma or GED Major: Degree must be from an accredited college or university. Job-Related Experience 1- 3 years&rsquo; experience in medical billing or collections Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Strong computer skills Working knowledge of medical CPT/ICD-9 coding Strong problem-solving skills Strong communication skills Strong organizational skills Ability to work in fast-paced environment Strong attention to detail Ability to research workers compensation and coding rules Clear understanding of workers compensation reimbursement guidelines and regulations Ability to work independently Strong customer service skills Ability to assist peers and train new colleagues Additional Data: Employee Benefits 401(k) Retirement Plan with Employer Match Medical, Vision, Prescription, Telehealth, &amp; Dental Plans Life &amp; Disability Insurance Paid Time Off &amp; Extended Illness Days Offered Colleague Referral Bonus Program Tuition Reimbursement Commuter Benefits Dependent Care Spending Account Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an Equal Opportunity Employer, including disability/veterans Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.

Reconsideration Specialist

<div>
 Req171581
 
 
 
 POSITION PURPOSE
 
 
 
 The HRSC Resolution Expediter supports The Home Depot's HR Service Center (MYTHDHR) in providing excellent customer service to the contact center customers, associates and managers via active listening and professional communication during the intake of inbound communication from both internal and external customers via telephone, letters, e-mail and/or social networks.  The HRSC Resolution Expediter resolves customer issues such as associate pay and other HR-related transactions and communicates resolution to appropriate parties and identifies problems that he/she cannot resolve and escalates them to appropriate leader within the department. Takes ownership of customer issues and provides complete end to end issue resolution by utilizing resources available.
 
 
 
 Major Tasks, Responsibilities And Key Accountabilities
 
 
 
 80% Customer interaction including inbound customer concerns, outbound customer follow-up and issue resolution.
 
 
 20% Customer issue resolution including follow up to internal and external resources. Other activities as assigned by leadership.
 
 
 
 NATURE AND SCOPE
 
 
 
 Reports to HRSC Supervisor.
 
 
 No direct responsibility for supervising others.
 
 
 
 Environment
 
 
 
 
 ENVIRONMENTAL JOB REQUIREMENTS
 
 
 
 Located in a comfortable indoor area. Any unpleasant condition would be infrequent and not objectionable.
 
 
 
 Travel
 
 
 
 Typically requires overnight travel less than 10% of the time.
 
 
 
 Essential Skills
 
 
 
 Additional Environmental Job Requirements:
 
 
 
 Minimum Qualifications
 
 
 
 Must be eighteen years of age or older.
 
 
 Must be legally permitted to work in the United States.
 
 
 
 Additional Minimum Qualifications
 
 
 
 Education Required:
 
 
 The knowledge, skills and abilities typically acquired through the completion of a high school diploma and/or GED.
 
 
 Years of Relevant Work Experience: 2 years
 
 
 
 Physical Requirements
 
 
 
 Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles.
 
 
 
 Additional Qualifications
 
 
 
 Preferred Qualifications:
 
 
 <ul>
 <li>
 HR experience preferred in a contact/shared service environment
 </li>
 <li>
 Demonstrated excellence in organization, time management and oral and written communication skills.
 </li>
 <li>
 Demonstrated excellence in interpersonal and customer service skills.
 </li>
 <li>
 Strong attention to detail and ability to clearly and concisely document research notes and details related to issue resolution required.
 </li>
 <li>
 Ability to understand and follow multiple complex processes.
 
 
 </li>
 </ul>
 
 Knowledge, Skills, Abilities And Competencies
 
 
 
 <ul>
 <li>
 Negotiating/Influencing skills
 </li>
 <li>
 Excellent verbal and written skills
 </li>
 <li>
 Attention to quality and detail
 </li>
 <li>
 Microsoft Windows/Office proficient
 </li>
 <li>
 Proficient typing/keyboarding skills
 </li>
 <li>
 Multi-tasking capability/Time and Case Management skills
 </li>
 </ul>
</div>

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

Search 10000+ Customer resolution specialist jobs near you this March. New roles added regularly across leading industries. Apply today.

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