Enrollment Resolution Specialist I - Remote/Hybrid Eligible

Excellus BCBS; Town of Clinton (NY); Hybrid; USD 44,000 - 69,000; Full time

Job summary

Excellus BCBS in New York is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing reconciliation issues between the Health Plan and external stakeholders, under supervision and in line with state and federal guidelines. The role spans multiple enrollment operational areas.

The position requires attention to detail, strong analytical and communication skills, and the ability to work across teams to ensure accurate member data, timely processing, and compliant

Qualifications

• Three years of experience with financial data or health insurance enrollment experience.
• Associate degree in finance, accounting, or similar discipline.
• Proven ability to establish constructive relationships and work independently.

Responsibilities

• Reconcile enrollment data against regulatory guidelines and ensure accurate financial records.
• Investigate discrepancies; communicate with internal/external customers and update records.
• Support process improvements and contribute to cross-functional projects.

Skills

Financial analysis

Regulatory compliance

Communication skills

Problem solving

Attention to detail

Education

Associate degree in finance or accounting

Tools

Microsoft Office Suite

Job description

Excellus BCBS in New York is seeking an Enrollment Resolution Examiner to resolve complex enrollment and billing reconciliation issues between the Health Plan and external stakeholders, under supervision and in line with state and federal guidelines. The role spans multiple enrollment operational areas.

The position requires attention to detail, strong analytical and communication skills, and the ability to work across teams to ensure accurate member data, timely processing, and compliant