Claims Resolution Specialist
Company: Medlytix
Location: Roswell
Posted on: February 17, 2026
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Job Description:
Job Description Job Description JOIN OUR GROWING CLAIMS
DEPARTMENT AT MEDLYTIX! The Claims Resolution Specialist plays a
key role in resolving open receivables for our clients. You will
process medical (physician and hospital) bills that involve motor
vehicle accidents, workers' comp, and third-party claims. The
Claims Resolution Specialist will work toward increased
reimbursement and account resolution. Responsibilities: Works
independently to identify issues with claim submissions; identifies
corrective steps; follows issue through to resolution. Provide
exceptional customer service for inbound calls. Interface with
insurance agents, patients, and others to the disposition of each
account. Identify obstacles to claim submission and payment,
including updating insurances, adjuster contact information,
submitting bills, and providing requested documentation. Identify
patterns with payers that result in non-payment or delayed payment.
Ability to summarize and escalate in the correct manner. Update
accounts in our proprietary technology platform to increase
probability of collection and resolution of accounts. Rely on
experience and judgment as well as instructions and pre-established
guidelines to plan and accomplish goals and perform a wide variety
of tasks. Required Skills: Experience in healthcare revenue cycle,
particularly physician billing, claims resolution, and customer
service. Understanding and concern for patient privacy and HIPAA
compliance Ability to interpret payer EOBs and understanding of
coordination-of-benefits concepts. Excellent customer service,
verbal and written communication skills. Ability to review and
interpret account information to successfully resolve account
issues. Attention to detail in identifying, comparing &
transferring data (particularly numbers) Ability to effectively
navigate multiple systems to download & transfer files. Ability to
research & follow written guidelines to determine next steps when
conflicting information is presented. Ability to identify
trends/issues and communicate these to supervisors.
Basic-to-Intermediate Microsoft Excel Skills Excellent Data Entry
Skills Education and Experience: Bachelor's degree preferred, High
School diploma or GED required Health Information Management
credential (RHIA, RHIT, CAHIMS, CPHIMS) preferred 2 Years of
Healthcare Revenue Cycle Experience Inbound Call Center Experience
Preferred bilingual - fluent in speaking Spanish Preferred prior
experience as team-lead, supervisor, or manager Other relevant
info: Full Time position - Remote available in northeast Ohio or
Tennessee Full Time position - In office - Location: Roswell, GA
30076 Why Medlytix ? Competitive Pay Competitive Paid Time Off
Comprehensive Medical, Dental, Vision and 401K Packages Family
Support Benefits Paid Company Holidays As part of our commitment to
quality and excellence, Medlytix will continue to maintain a safe
and healthy environment for you by requiring all applicants to
submit to a criminal history check and those tentatively selected
for a position to submit to screening for illegal drug use prior to
appointment for a job. In addition, applicants may be screened for
ability to perform essential functions of some positions.
Keywords: Medlytix, Atlanta , Claims Resolution Specialist, Accounting, Auditing , Roswell, Georgia
