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Resolution specialist skills for your resume and career

Updated January 8, 2025

7 min read

Quoted experts

Jeremy Rinker Ph.D.,

John Inglish

Below we've compiled a list of the most critical resolution specialist skills. We ranked the top skills for resolution specialists based on the percentage of resumes they appeared on. For example, 15.3% of resolution specialist resumes contained patients as a skill. Continue reading to find out what skills a resolution specialist needs to be successful in the workplace.

15 resolution specialist skills for your resume and career

1. Patients

Here's how resolution specialists use patients:

Assisted uninsured hospital patients with Medicaid applications by gathering required documents and information and submitting to County Assistance Office.
Deliver effective financial solutions related to billing matters for patients in community, rural and critical access hospitals.

2. Phone Calls

Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.

Here's how resolution specialists use phone calls:

Field escalated telephone calls in a supervisory capacity from Customer Service and Resolution Department representatives.
Initiated outbound and received inbound phone calls relating to customer dissatisfaction and billing concerns.

3. Appeals

Here's how resolution specialists use appeals:

Collaborated with clinical pharmacists and administrative benefits specialists to research, review and process clinical and administrative appeals respectively.
Provide telephonic assistance to internal provider service associates concerning escalated Appeals, negative balance research and claims issue.

4. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how resolution specialists use cpt:

Provided response to inquiry on medical billing, medical authorizations, and CPT codes for doctor offices and hospitals personnel.
Verified CPT codes/diagnosis codes and schedules to make sure claims were paid correctly and issued additional payment if due.

5. Inbound Calls

Here's how resolution specialists use inbound calls:

Provide real-time support to representatives taking inbound calls from internet and telephone service subscribers.
Received inbound calls from customers and internal departments regarding cancellation of service.

6. PowerPoint

Here's how resolution specialists use powerpoint:

Created MS PowerPoint training material to standardize program documentation and clerical procedures.
Assist with PowerPoint presentation and electronic navigation during 2-day Pilot course.

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7. 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 resolution specialists use outbound calls:

Perform eligibility verification support, placing outbound calls in a hectic call center environment.
Follow up on customer concerns including making outbound calls to third parties and customers to ensure customer resolution and satisfaction.

8. Medicaid

Here's how resolution specialists use medicaid:

Provide quality review of benefits for medical and pharmacy concerning Medicare, Medicaid, and/or Private Commercial insurances.
Focused on proficiency following Medicaid guidelines.

9. Problem Resolution

A problem resolution refers to how a person identifies the problem, determining its cause, creating a reasonable solution, and implementing a conclusion. With the help of a client specialist, it is easier to handle such a situation. Problem resolution plays a vital role in helping resolve problems efficiently and effectively.

Here's how resolution specialists use problem resolution:

Coordinated problem resolution with staff by expediting inquiries and maintaining requisite levels of attention with high standards of customer satisfaction.
Responded to customers inquires relating to deposits financial transactions, and problem resolutions.

10. HIPAA

Here's how resolution specialists use hipaa:

Ensured compliance with applicable legal and regulatory requirements including HIPAA and other state and/or regional requirements.
Maintained client trust as member of HIPAA compliance management team, thoroughly researched and rectified IHI violations.

11. Real Estate

Real estate is land that has buildings on it. This kind of property consists of permanent improvements either natural or man-made, which include, houses, fences, bridges, water trees, and minerals. There are 4 types of real estate namely; residential real estate, commercial real estate, industrial real estate, and vacant land.

Here's how resolution specialists use real estate:

Reviewed and developed marketing strategies, analyzed real estate appraisals and developed market values, reviewed and approved budgets.
Assembled loan files as necessary and performed investigative reviews on select borrower and/or real estate transactions.

12. Management System

A management system is a set of policies, processes, and procedures taken by an organization or a business to ensure it can fulfill its tasks and achieve its objectives. A management system makes sure that the company excels financially and improves the user experience. The management system also takes care of the worker's and employees' needs and manages their workload and oversees their performance. Apart from interior matters of the company, a management system also deals with exterior matters like legislations, tax matters, and law issues.

Here's how resolution specialists use management system:

Evaluated financial institutions risk measurement and management systems for loan portfolios.
Researched and set up new contested/litigated cases via case management system to account for case events according to policy and procedures.

13. Credit Card

A type of card issued by banks and other financial institutions, that enable users to manage and borrow their finances is called a credit card. The funds borrowed from a financial institution through a credit card are meant to be paid back along with certain amounts of interest imposed by the bank.

Here's how resolution specialists use credit card:

Addressed customer concerns regarding Capital One credit card products with efficiency and professional courtesy.
Tendered payments through credit cards, debit cards, and checking accounts; handled private and confidential information on all borrowers.

14. Customer Care

Customer care, also known as customer service, is a one-to-one interaction between the consumer of a company and its representative.

Here's how resolution specialists use customer care:

Provided support to Customer Care and surrounding departments to assist in exceeding overall customer satisfaction.
Provide customer care services for existing/non members with any and all pharmacy benefit inquiries/concerns.

15. Medical Claims

Here's how resolution specialists use medical claims:

Handled escalated provider issues concerning processing of medical claims.
Trained processor and reviewer of individual medical claims.

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What skills help Resolution Specialists find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on resolution specialist resumes?

Jeremy Rinker Ph.D.

Assistant Professor Director of Undergraduate Studies, University of North Carolina Greensboro

Related to what I have said above, I think the ability to be a reflexive thinker and reflect-in-practice, as things change, will be (and are) a critical skill in today's marketplace. These are skills that our program at UNCG teaches. Not only how to design interventions that address ongoing conflict, but thinking creatively about how we set problems as problems will be critical as we address major existential issues like Covid-19, environmental degradation, and capitalist shortcomings.

What soft skills should all resolution specialists possess?

John Inglish

Program Director for the Conflict & Dispute Resolution (CRES) Master’s Program, University of Oregon

I would propose that the term "soft skills" is a misnomer. Many of the skills one gains in a conflict resolution program are critical skills, and this is now supported by empirical research. Chief among these are emotional intelligence-i.e., the ability to read one's own emotions as well as others and apply the appropriate navigational strategy in a given context. Another foundational skill is the ability to apply principled negotiation principles in a conflict. Conflict resolution professionals understand how to separate the people from the problem, identify underlying interests, and generate options that are focused on meeting the needs of the individuals or parties involved.

What hard/technical skills are most important for resolution specialists?

John Inglish

Program Director for the Conflict & Dispute Resolution (CRES) Master’s Program, University of Oregon

Dispute resolution strategies reside on a continuum, moving from informal to more formal, and may include conflict coaching, negotiation, mediation, facilitation, arbitration, or something else. Professionals must have the knowledge and ability to select the most appropriate method for the conflict at hand.

What resolution specialist skills would you recommend for someone trying to advance their career?

Dr. Tatsushi (Tats) Arai Ph.D.

Associate Professor, Kent State University

Advanced skills in conflict resolution, applicable regardless of the pandemic's effects, and the new trends described above.
Also, more practical skills in the development of social equity and inclusion and conflict resolution in public health and communication technologies will be an asset.

What technical skills for a resolution specialist stand out to employers?

John Potter

Clinical Associate Professor, Southern Methodist University

Overwhelmingly, practical skills matter. Many employers have so many applicants for positions that their initial goal is to cull the number of applicants down to a small enough number as quickly as possible to work through to find the best person for a particular position. Therefore, applicants should be clear about their skills and also how they apply to a particular position.

Do you want to know more?

List of resolution specialist skills to add to your resume

The most important skills for a resolution specialist resume and required skills for a resolution specialist to have include:

Patients
Phone Calls
Appeals
CPT
Inbound Calls
PowerPoint
Outbound Calls
Medicaid
Problem Resolution
HIPAA
Real Estate
Management System
Credit Card
Customer Care
Medical Claims
Delinquent Accounts
Customer Complaints

Troubleshoot
Customer Inquiries
Quality Standards
Telephone Calls
Customer Issues
State Laws
Payment Arrangements
Customer Calls
Billing Issues
CMS
FDCPA
Customer Accounts
Student Loans
Insurance Claims
Collection Efforts
Financial Statements
Technical Issues

Quality Customer Service
FDIC
Investor Guidelines
Financial Institutions
Hippa
FHA
Subpoenas
Loan Modifications
Business Bureau
AS400
Arbitration
Account Issues
Address Changes
EOB
Cost Analysis

Updated January 8, 2025

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.

Updated January 8, 2025

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