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Account resolution analyst skills for your resume and career

Updated January 8, 2025
2 min read
Below we've compiled a list of the most critical account resolution analyst skills. We ranked the top skills for account resolution analysts based on the percentage of resumes they appeared on. For example, 13.3% of account resolution analyst resumes contained escalate as a skill. Continue reading to find out what skills an account resolution analyst needs to be successful in the workplace.

15 account resolution analyst skills for your resume and career

1. Escalate

Escalation occurs when a client's requests cannot be met by a general assistant or clerk and must be passed on to a manager. However, escalation could also come about within a larger corporation involving smaller team groups; if a serious error was made by one of these groups, the error may immediately be brought to the group manager's attention to ensure the project is completed.

Here's how account resolution analysts use escalate:
  • Review Reinstatement requests and either Approve/Decline or Escalate to Underwriting for approval.

2. Credit Balances

Here's how account resolution analysts use credit balances:
  • Analyze and resolve credit balance via refunds, take backs or adjustments.
  • Monitor credit balance reports and performs analysis making appropriate claims adjustments and/or refunds as necessary.

3. Customer Accounts

Here's how account resolution analysts use customer accounts:
  • Formulated financial decisions to collect/protect revenues and adjust customer accounts.
  • Managed outside customer accounts for this leader in material handling equipment while increasing territory development to several mid-western states.

4. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how account resolution analysts use customer service:
  • Managed day-to-day relationship with suppliers handling customer service issues supporting the managed accounts.
  • Serviced consumers and dealers promptly to achieve target Customer Service Satisfaction Index.

5. Medical Claims

Here's how account resolution analysts use medical claims:
  • Processed and adjusted group medical claims in a home-based environment.
  • Processed all commercial patient denial follow-up accounts and communications with various insurance companies concerning the processing of medical claims.

6. A/R

Here's how account resolution analysts use a/r:
  • Help with the transions of new hospitals A/R

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7. Insurance Carriers

Here's how account resolution analysts use insurance carriers:
  • Verified eligibility, coordination of benefits with other insurance carriers, and final check processing for health benefits.
  • Investigate claims suspending from plan participants, providers, group administrators and other insurance carriers.

8. Medicaid

Here's how account resolution analysts use medicaid:
  • Processed Inpatient, Outpatient, Waivers, Dental, HCFA, Nursing Homes and Crossovers claims for Medicaid.
  • Evaluated, processed, and paid out health insurance Medicaid claims with numerous providers.

9. Payment Issues

Here's how account resolution analysts use payment issues:
  • Worked closely with consumer accounts to resolve payment issues and positively impact company profit margins.
  • Submitted recommendations regarding escalating payment issues to senior management.

10. Outbound Calls

An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.

Here's how account resolution analysts use outbound calls:
  • Performed Customer Service through inbound and outbound calls and answered customer questions as well as educated customers regarding their mortgage obligations.
  • Documented accounts with information obtain through outbound calls;Verified customers background history to determine eligibility for new lease agreements.

11. Appeals

Here's how account resolution analysts use appeals:
  • Reviewed and responded to physician appeals and correspondence.
  • Reviewed member's appeals and complaints.

12. HIPAA

Here's how account resolution analysts use hipaa:
  • Assisted in reviewing corporate audits from the Department Of Insurance while adhering to HIPAA regulations.
  • Updated project database that consisted of extremely sensitive and confidential information; maintained patient data in accordance with HIPAA regulations.

13. PeopleSoft

Here's how account resolution analysts use peoplesoft:
  • Performed data entry into PeopleSoft and processed write off with resolution codes.
  • Maintained accounts, report structure, report formats, and tree manager in PeopleSoft General Ledger.

14. Telephone Calls

Telephone calls are a communication means through which a caller is connected to the called party. The call is done through a telecommunications device called a telephone. The caller can use a landline, mobile phone, or satellite phone to make the call.

Here's how account resolution analysts use telephone calls:
  • Performed collections activity based on collection queue/production goals by making outbound and receiving inbound telephone calls from clients.
  • Received incoming telephone calls and gave professional customer service help to customers about question on delinquent accounts.

15. Medical History

Here's how account resolution analysts use medical history:
  • Conduct contestable investigations to review medical history.
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List of account resolution analyst skills to add to your resume

Account resolution analyst skills

The most important skills for an account resolution analyst resume and required skills for an account resolution analyst to have include:

  • Escalate
  • Credit Balances
  • Customer Accounts
  • Customer Service
  • Medical Claims
  • A/R
  • Insurance Carriers
  • Medicaid
  • Payment Issues
  • Outbound Calls
  • Appeals
  • HIPAA
  • PeopleSoft
  • Telephone Calls
  • Medical History
  • Government Entities
  • Medicare Part D
  • Process Recovery
  • ATM
  • Claims Issues
  • Windows
  • Billing Errors
  • Data Analysis
  • Emdeon
  • Customer Claims
  • Data Integrity
  • Customer Complaints
  • EOB
  • Insurance Claims
  • Process Improvement
  • Quality Standards

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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