A Resolve Application Specialist responds to technical problems that occur abruptly and delivers immediate solutions. The following duties and responsibilities are generally included on the Resolve Application Specialist Resume – possessing specialist knowledge of operating systems, devices, applications, and software; providing technical support to teams within the organization, and to external clients when required, assisting with systems integrations, managing ticketed query systems and ensuring comprehensive database of queries and resolutions is kept up to date, identifying and solving technical issues, managing coordination at a local and international level, and developing reports for the team across the business.
Hiring employers expect the following skills from job applicants – intimate knowledge of the company’s computing systems, the ability to explain complex ideas, exceptional verbal and written communication skills, listening ability and patience, customer service and relationship management experience, and critical thinking skills. Most of these jobs ask for a University degree and relevant training in order to become eligible for the role.
Summary : A Resolve Application Specialist position where a degree in criminal justice and sociology along with proven research skills and related experience can be maximized.
Skills : Leadership, Team Work.
Description :
Documented and updated PACE (Patient Advocacy at Chamberlin Edmonds) based on daily contact of select members of assigned applicant group and application evidence requirements.
Diligently followed up with institutions and/or businesses resolving issues ultimately affecting application approval.
Managed caseload of 600 plus, encompassing over 50 separate DSS, SSA, and DDS agencies.
Responsible for working priority cases (125+) weekly and remainder cases (450+) monthly.
Provided high quality client focused service by using knowledge of local, state and federal program requirements to efficiently maintain and update general applicant information, financial, medical and personal information to support client applications.
Requested and distributed medical bills and records, income and resource proof, personal information while following HIPPA regulations.
Resolved cases whether it be an approval or a denial.
Experience
10+ Years
Level
Senior
Education
BS In Criminal Justice
Resolve Application Specialist Resume
Summary : To obtain a Resolve Application Specialist position within an organization with a stimulating environment that offers career advancement opportunities.
Skills : Word Processing, Word, Acrobat, Account Management, Data Entry, Filing, Fax, Kronos, Customer Service, Medical Terminology, Employee Relations, Operations, Typing 40 WPM, Languages - Spanish, Schedule Appointments.
Description :
Answered, screened, directed all incoming phone calls with professionalism.
Provided available information to client according to material/docs available.
Answered general questions and provide application status to clients, DCF, Social Security, health care representatives, and supervisors in resolving evidence application issues complete initial and wrongfully denied Medicaid and social security disability claims within its time limits.
Scheduled client appointments with hospital and/or agencies.
Documented, updated and identified missing evidence using PACE (Patient Advocacy at Change Healthcare System) i.e. work activity, medical condition, complete client activity and daily living questionnaires important required document that must be completed in detail as to how the patient spends his entire day.
Ensured detailed info is indicated on questionnaires which are very useful in making a favorable decision.
Reviewed and submited along with supported medical records obtained from third party, beneficiary contact, demographic data financial, life/health insurance information, employment/salary verification, along with any additional medical history.
Experience
10+ Years
Level
Senior
Education
Bachelor's
Resolve Application Specialist Resume
Headline : Resolve Application Specialist professional with over 20 years of customer service in a variety of businesses and 8 years of mortgage processing experience if banking procedures and 6 years of disability advocacy. Recognized for the proven ability to manage large volumes of work, excellent research skills and resourceful problem solving. Consistently achieving high levels of productivity and accuracy. Dedicated team player and exhibits leadership qualities in identifying process improvements and spearheads procedure evaluations to determine best practices.
Skills : Detailed Oriented, Multitasking.
Description :
Managed all new completed cases and followed up with agencies for status and updates throughout the entire process through to completion.
Selected a few that could add hospital visits to the billing list.
Spotlighted employee for several quarters and excelled in mid and yearly reviews.
Entered data of patient demographic information, medical coverage, and hospital pending bill in the database system.
Followed up on denials, appeals, and escalation claims.
Identified and managed existing and emerging risks that stem from business activities.
Researched, analyzed, troubleshoot, and resolved issues related to system modifications and/or data integrity.
Experience
5-7 Years
Level
Executive
Education
Associates In Business Administration
Resolve Application Specialist Resume
Headline : Over 8 years of experience in working with the public on a daily basis. I have over 12 years of experience in Kentucky state government. Throughout my job experiences I have also been an assistant manager at a loan corporation.
Skills : Healthcare, Customer Service.
Description :
Assisted clients with getting approved for disability.
Gathered the required information needed to assist the social security administration with documentation.
Assisted Attorneys with medical information needed to assist clients.
Sent faxes and scan documentation into our PACE system for hospitals.
Able to successfully help clients obtain disability and get either Medicaid or Medicare.
Communicated by phone with clients, attorneys, and social security offices.
Used resources such as the work #, inquiring via the internet to obtain financially and work history information needed to assist clients with their disability application.
Experience
5-7 Years
Level
Executive
Education
BS In Education
Resolve Application Specialist Resume
Objective : A seasoned Resolve Application Specialist professional with a unique blend of management and administrative skill sets, and a proven record of sound business judgment across multiple functions. Exceptional communicator and motivator. Special depth in training delivery, business writing, and conflict resolution. A conversant leader who cares about people and produces results.
Skills : Microsoft Office, Managing Skills.
Description :
Provided high-quality client-focused service by using knowledge of local, state, and federal program requirements to efficiently maintain and update general applicant information, financial, medical, and personal information to support client applications.
Documented and updated the PACE (Patient Advocacy at Chamberlin Edmonds System) based on daily contact of select members of the assigned applicant group and application evidence requirements.
Assisted callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support the application process.
Identified and took appropriate actions to complete and submit required financial, medical, and personal information forms to support the client application process.
Diligently followed up with institutions/businesses resolving issues ultimately affecting application approval.
Identified appropriate escalation points and work with Escalation Team Leader to resolve issues.
Maintained ongoing communication with other internal Resolve Application functions to obtain information and/or provide updates regarding claim status.
Experience
2-5 Years
Level
Executive
Education
BS
Resolve Application Specialist Resume
Headline : Intelligent, outgoing psychology graduate with a solid record of employment featuring the ability to maintain quality work in a fast-paced environment, Able to multi-task and prioritize projects, Manage deadlines while paying great attention to detail.
Skills : Microsoft Office, Training Skills.
Description :
Worked as an augmentation to John H.
Reviewed patient medical records to determine medical program eligibility.
Reviewed and followed up on related correspondence to ensure all required information was provided to The Illinois Department of Human Services and The Social Security Administration in a timely manner.
Trained several new employees in obtaining medical coverage for uninsured patients.
Knowledged of the Medicaid approval process.
Partnered with the IT community and vendor customer service as necessary to resolve system and/or data issues.
Assessed overall project and operational risks and develops mitigation plans.
Experience
5-7 Years
Level
Executive
Education
B.A. In Psychology
Resolve Application Specialist Resume
Objective : A position where I can use my experience to achieve the goals and mission set by your company. And not only achieve them but also strive for excellence and innovation if requested and needed. Also, be able to use my extensive knowledge of the Spanish and English languages to be able to better perform my responsibilities and duties and better serve those under my care.
Skills : Microsoft Office, Supervising Skills.
Description :
Reviewed inbox for daily work queues, identifies missing evidence, and follows through for completion of caseloads anywhere from 250 - 400 claims.
Resolved T-2, T-16, & T-18 Applications according to Social Security Federal Guidelines.
Effectively educated patients and family representatives regarding application process Diligently follow-up with Department of Children & Family (DCF), Social Security Administration (SSA), and any other business or institution resolving issues ultimately affecting application approval Bill Coding for all applications that are approved in Jackson Memorial Hospital System.
Received and processed reports in a timely manner.
Trained new and transitioning employees on hospital systems, bill coding, and any other required tasks.
Managed high call volume.
Thorough review of Presumptive Eligibility and Medicaid applications to ensure accuracy and correctness of documentation to proceed with hospital payments within deadlines.
Experience
2-5 Years
Level
Executive
Education
BS In Psychology
Resolve Application Specialist Resume
Objective : Seeking a Resolve Application Specialist position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Team Work, Leadership.
Description :
Resolved Application Specialist Key Contributions and Accountabilities: Worked collaboratively with counterparts on-site at the hospital to complete an initial screening with each uninsured patient to see if they were eligible for Medicaid/Disability benefits.
Continuously developed strong working relationships with hospital counterparts by engaging in the process of completing the applicable Medicaid/Disability applications with patients and promptly submitting applications to the local Medicaid and Disability offices.
Exceeded organizational objectives by following up on applications and 'resolving' the application to get it approved so Medicaid and Disability can be billed to cover the patient's hospital stay, and the patient can have on-going medical insurance to cover future hospital/doctor visits.
Spearheaded daily objectives by 'resolving' an application and assisting the patient with compiling financial, personal, and medical information to submit to their caseworker.
Acted as a liaison between the Medicaid/Disability offices and patients by following up to check the status of their application.
Developed an effective pipeline of communication by requesting verification information directly from the patient's employer, bank, Life Insurance Company, etc.
Provided Pre- and Post-Sales support considering an investment or investing in Topcon Software products.
Experience
2-5 Years
Level
Executive
Education
Bachelor In Arts
Resolve Application Specialist Resume
Headline : As a Resolve Application Specialist, responsible for serving as a resource for the resolution of complex and/or unique problems related to the ServiceMax system, Following written risk and compliance policies and procedures for business activities.
Skills : Application Management, MS Office.
Description :
Provided support and training in all Topcon office and field software products.
Worked closely with Sales and Marketing staff to provide business solutions.
Communicated and collaborated with Professional Services, sales support, production, engineering, Product Management, and other departments on issues affecting Topcon Software products.
Resolved customer complaints and queries.
Demonstrated equipment for customer evaluation as part of the sales process.
Assisted with payback analysis for new equipment.
Prepared and delivered presentations and quotations.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Arts In History
Resolve Application Specialist Resume
Headline : Highly qualified Resolve Application Specialist with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.
Skills : Training Skills, Application Management.
Description :
Surveyed field applications and provide guidance for improved operation.
Networked with allied vendors and business organizations.
Knowledged of pneumatics, electrical, and powder coating application. Technical skills and ability to understand/read mfg drawings.
Identified business requirements for ServiceMax and associated systems (e.g., needs, objectives, functions, features, input, and output).
Assessed, defined scoped, the identified risk, and provides solution options and/or recommendations for technology projects.
Led and facilitated complex business operations projects involving systems and/or business processes to achieve operational objectives.
Coordinated integration of solutions with existing applications (Rentalresult, Quote for Service, etc.).
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