Enrollment Resolution Specialist I

Univera Healthcare; Buffalo (NY); Híbrido; USD 29.000 - 48.000; Jornada completa

Descripción de la vacante

Univera Healthcare is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing issues across multiple enrollment areas. You will audit data, verify accuracy, and coordinate with internal and external customers to ensure correct payments and compliant records.

The role requires strong analytical ability, attention to detail, and solid communication skills. A background in health insurance enrollment and finance is preferred, with potential for remote case-by-case

Formación

• Conducting financial analyses and recommendations, or related work experience and proven ability to exercise the requirements and responsibilities of the position.
• Three (3) years’ experience with financial data or Health Insurance Enrollment experience; or an associate degree in finance, accounting, or similar discipline.
• Capable of establishing constructive relationships with all levels of internal and external of the organization.
• Must be able to prioritize assignments and work accurately and independently within established time frames.
• Must be flexible and able to adjust to rapidly changing priorities.
• Must have solid communication skills – both verbal and written.
• Proven organizational, analytical, and time management skills.
• Computer proficiency, including experience in Microsoft Office Suite.
• Strong attention to detail and accuracy.

Responsabilidades

• Reconciliation of regulatory and Health Plan Enrollment data through audit and review, using guidelines and procedures to ensure accurate financial records.
• Ensure member and/or group documentation and transactional updates are completed to reconcile account discrepancies.
• Investigates, analyzes, tracks and monitors operational issues identified during financial balancing adjustments.
• Prepares regular and periodic reports for processing guidance and transaction review.
• Initiates requests to other operational areas to resolve problems and communicates with internal and external customers.
• Upholds privacy and integrity per corporate policies.
• Be proficient in one line of business and process inventory from other lines as requested.
• Mentors and collaborates with others on the team, sharing best practices and supporting peers.
• Act as subject matter expert in enrollment processes and assist cross-functional groups.
• Support implementation of new processes, test cases, end-user testing, and documentation.

Conocimientos

Financial analysis

Communication skills

Time management

MS Office

Educación

Associate degree in finance or accounting

Herramientas

Microsoft Office Suite

Descripción del empleo

Univera Healthcare is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing issues across multiple enrollment areas. You will audit data, verify accuracy, and coordinate with internal and external customers to ensure correct payments and compliant records.

The role requires strong analytical ability, attention to detail, and solid communication skills. A background in health insurance enrollment and finance is preferred, with potential for remote case-by-case