Medical Customer Resolution Specialist

We are looking for a Customer Resolution Specialist to support patient and customer account needs for a Contract position based in Sacramento, California. This role focuses on delivering responsive service, resolving billing and payment questions, and guiding patients or guarantors through account balances and available payment arrangements. The ideal candidate brings strong knowledge of healthcare billing practices, payer requirements, and collection processes while maintaining accuracy, consistency, and productivity in daily work. Fully Remote!Responsibilities:• Respond to customer and patient account questions by researching billing concerns, payment activity, benefits, eligibility, authorizations, and explanations of benefits across hospital and physician billing accounts.• Review accounts to process appropriate corrections, account adjustments, and contractual reductions in accordance with payer rules and internal guidelines.• Contact patients, guarantors, or other responsible parties to secure payment on self-pay balances, establish practical payment arrangements, and address barriers that delay resolution.• Evaluate accounts for charity consideration when applicable and complete related determinations using established criteria and procedures.• Initiate transfers of qualifying balances to bad debt status when required and ensure all related account actions are documented accurately.• Maintain current knowledge of reimbursement methods, billing workflows, and payment practices for government and commercial payers to support compliant account resolution.• Meet daily performance expectations by managing assigned account volumes efficiently and recording all follow-up activities and action codes in the appropriate systems.• Apply departmental policies, procedures, and service standards consistently while supporting additional duties that contribute to overall revenue cycle operations.