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1 result for Communications Specialist in Stockton, CA

Customer Resolution Specialist

Sacramento, CA
remote
Temporary / Contract
22.22 - 24 USD / Hourly
We are looking for a Customer Resolution Specialist to support patient and payer account service operations in Sacramento, California. This Long-term Contract opportunity is ideal for someone who can manage billing-related questions, account follow-up, and balance resolution with accuracy and professionalism. The person in this role will help customers understand charges, coverage, and payment options while ensuring work is completed in line with healthcare billing standards and internal procedures. Responsibilities: • Address customer questions related to hospital and billing services that require close attention to detail, including statements, payments, benefits, eligibility, and coverage details. • Review patient accounts and complete appropriate account corrections, approved adjustments, and contractual write-offs based on account findings and payer guidelines. • Follow up on self-pay balances by contacting patients, guarantors, or other responsible parties to secure payment or establish suitable payment arrangements. • Investigate and resolve account issues involving authorizations, explanations of benefits, and outstanding balance concerns across assigned accounts. • Evaluate accounts for financial assistance eligibility and complete presumptive charity reviews when applicable. • Transfer qualifying accounts for bad debt processing in accordance with departmental standards and timelines. • Maintain accurate documentation by recording account activity, action codes, and follow-up outcomes for each interaction. • Apply working knowledge of payer rules, reimbursement practices, and department procedures to ensure compliant account resolution. • Meet daily productivity expectations while managing account workload efficiently and supporting additional customer care tasks as needed.
2026-07-21T00:00:00Z