Enrollment Resolution Specialist - Remote & Reconciliation

Lifetime Workforce Solutions, LLC; Buffalo (NY); Hybrid; USD 29,000 - 48,000; Full time

Job summary

Univera Healthcare in Buffalo, NY seeks an Enrollment Resolution Examiner to resolve complex enrollment and billing issues between the Health Plan and external customers, including government agencies. This role works across multiple enrollment operational areas under management guidance.

The ideal candidate has 3+ years of health insurance enrollment data experience, strong analytical abilities, and excellent communication.

Qualifications

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

Responsibilities

• Reconcile enrollment and billing data across regulatory guidelines.
• Verify enrollment data accuracy to ensure correct plan payments.
• Update member/group documentation and transactions to fix discrepancies.
• Review discrepancies from internal/external customers and take corrective action.
• Prepare regular reports on processing and outcomes for leadership.

Skills

Financial analysis

Communication skills

Time management

Analytical skills

Prioritization

Office software

Education

Associate degree in finance, accounting, or similar

Tools

Microsoft Office Suite

Job description

Univera Healthcare in Buffalo, NY seeks an Enrollment Resolution Examiner to resolve complex enrollment and billing issues between the Health Plan and external customers, including government agencies. This role works across multiple enrollment operational areas under management guidance.

The ideal candidate has 3+ years of health insurance enrollment data experience, strong analytical abilities, and excellent communication.