Enrollment Resolution Specialist I

Capital District Physicians Health Plan Inc; City of Rochester (NY); Presencial; USD 29.000 - 48.000; Jornada completa

Descripción de la vacante

CDPHP is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing reconciliation issues across multiple enrollment operations. You will handle data reconciliation, documentation updates, and cross-functional collaboration to ensure accurate financial records and timely issue resolution.

Level I/II responsibilities include data analyses, reporting, privacy adherence, and continuous process improvements, with potential mentoring for Level II.

Formación

• Three years of experience with financial data or health insurance enrollment
• Associate degree in finance, accounting, or similar discipline
• Strong communication skills, both verbal and written
• Ability to prioritize, work accurately and independently
• Proficient with Microsoft Office Suite

Responsabilidades

• Reconcile regulatory and enrollment data to ensure accurate billing and payments
• Review and update member/group documentation to resolve discrepancies
• Investigate and monitor financial balancing issues and identify process improvements
• Prepare regular reports on transactions and processing guidance
• Coordinate with internal/external teams to resolve problems and document changes
• Maintain member privacy in line with privacy policies
• Be proficient in one line of business and process inventory from other lines as needed
• Level II adds mentorship and subject-matter expertise across enrollment processes

Conocimientos

Financial analysis

Attention to detail

Communication

Time management

Microsoft Office

Educación

Associate degree in finance or accounting

Herramientas

Microsoft Office Suite

Descripción del empleo

CDPHP is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing reconciliation issues across multiple enrollment operations. You will handle data reconciliation, documentation updates, and cross-functional collaboration to ensure accurate financial records and timely issue resolution.

Level I/II responsibilities include data analyses, reporting, privacy adherence, and continuous process improvements, with potential mentoring for Level II.