Enrollment Resolution Specialist I

Excellus BlueCross BlueShield; Town of De Witt (NY); On-site; USD 29,000 - 48,000; Full time

Job summary

Excellus BlueCross BlueShield is seeking an Enrollment Resolution Examiner in New York to resolve complex enrollment and billing issues across multiple lines of business. The role works under management to ensure compliance with State and Federal guidelines and focuses on data reconciliation, reporting, and customer satisfaction.

The position requires strong analytical skills, experience with enrollment processes and regulatory guidelines, and the ability to collaborate across departments.

Qualifications

• Three years’ experience with financial data or Health Insurance Enrollment.
• Strong communication skills, verbal and written.
• Ability to prioritize and work independently within timeframes.
• Proven analytical and time management skills.
• Proficient in Microsoft Office Suite.

Responsibilities

• Reconcile enrollment data and filings to ensure payments and records are accurate.
• Review and update member/group documentation and resolve discrepancies.
• Investigate and monitor operational issues; support process improvements.
• Prepare regular reports on processing activities and outcomes.
• Coordinate with internal and external stakeholders to resolve problems.
• Serve as a subject matter expert on one line of business; mentor others.

Skills

Financial data analysis

Communication skills

Time management

Attention to detail

Education

Associate degree in finance, accounting, or similar discipline

Tools

Microsoft Office Suite

Job description

Excellus BlueCross BlueShield is seeking an Enrollment Resolution Examiner in New York to resolve complex enrollment and billing issues across multiple lines of business. The role works under management to ensure compliance with State and Federal guidelines and focuses on data reconciliation, reporting, and customer satisfaction.

The position requires strong analytical skills, experience with enrollment processes and regulatory guidelines, and the ability to collaborate across departments.