Enrollment Resolution Specialist I

Excellus BCBS; City of Albany (NY); On-site; USD 29,000 - 45,000; Full time

Benefits offered by this job

Remote work possibility

Job summary

Excellus BCBS is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing issues across multiple enrollment operations in Albany, NY. You will work under management, ensuring compliance with state and federal guidelines and maintaining accurate financial records.

The role requires reviewers who can analyze discrepancies, communicate with internal and external stakeholders, and contribute to process improvements while upholding privacy and regulatory standards.

Qualifications

• Three years’ experience with financial data or Health Insurance Enrollment.
• Associate degree in finance or accounting or similar.
• Strong communication and organizational skills.
• Proficient in Microsoft Office Suite.

Responsibilities

• Reconcile enrollment data with guidelines to ensure accurate billing and financial records.
• Review and update member/group documentation to correct discrepancies.
• Prepare regular reports on processing guidance and transactions.
• Collaborate across enrollment operations; mentor teammates.

Skills

Financial analysis

Communication

Time management

Microsoft Office

Education

Associate degree in finance or accounting

Tools

Microsoft Excel

Enrollment systems

Job description

Excellus BCBS is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing issues across multiple enrollment operations in Albany, NY. You will work under management, ensuring compliance with state and federal guidelines and maintaining accurate financial records.

The role requires reviewers who can analyze discrepancies, communicate with internal and external stakeholders, and contribute to process improvements while upholding privacy and regulatory standards.