Enrollment Resolution Examiner I

LTHC

. Resolve complex enrollment and billing reconciliation issues between the Health Plan and external customers, including State and Federal Government Agencies .

Posted 10/12/2026full-timeBuffalo • New York • United StatesMid-LevelSenior💰 $21 - $35 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial data analysis and health insurance enrollment processes, with a strong focus on regulatory compliance and operational efficiency. Proven ability to mentor team members and implement process improvements while maintaining accurate financial records.

Highest-signal resume keywords

Financial Data AnalysisHealth Insurance Enrollment ExperienceRegulatory Compliance KnowledgeProcess Improvement ImplementationMentoring and Training Peers

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial AnalysisEnrollment ReconciliationAudit and ReviewOperational ReportingData Accuracy Verification

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational SkillsAnalytical SkillsTime Management

Tools & Technologies

Microsoft Office Suite

Industry Keywords

Health PlanEnrollment ProcessBilling ReconciliationOperational IssuesCross-Functional Collaboration

About the role

Key responsibilities & impact

Resolve complex enrollment and billing reconciliation issues between the Health Plan and external customers, including State and Federal Government Agencies
Reconcile regulatory and Health Plan Enrollment data through audit and review
Verify enrollment and billing accuracy to ensure the plan is paid correctly and maintain accurate financial records
Complete member and/or group documentation and transactional updates to reconcile account discrepancies
Investigate, analyze, track, and monitor operational issues identified during financial balancing adjustment of funds
Participate in process and technology improvement efforts
Prepare regular and periodic operational reports of transactions
Initiate requests to other operational areas to resolve problems or recommend process improvements
Communicate with internal and external customers, provide supporting documentation, and recommend procedure changes
Process inventory from other lines of business as requested
Level II: Mentor and collaborate with team members, share best practices, and review work
Level II: Serve as a subject matter expert and support implementation of new processes and procedures
Level II: Create test cases, test processes, conduct end-user testing, create documents, and establish procedures
Level II: Represent Enrollment Resolution on corporate projects and cross-functional work groups

Requirements

What you’ll need

Three (3) years’ experience with financial data or Health Insurance Enrollment experience; or an associate degree in finance, accounting, or similar discipline
Conducting financial analyses and recommendations, or related work experience and proven ability to exercise the requirements and responsibilities of the position
Ability to establish constructive relationships with all levels of the organization
Ability to prioritize assignments and work accurately and independently within established time frames
Flexibility to adjust to rapidly changing priorities
Solid verbal and written communication skills
Organizational, analytical, and time management skills
Computer proficiency, including experience in Microsoft Office Suite
Strong attention to detail and accuracy
Level II: Minimum of five (5) years health insurance operations experience preferred
Level II: In-depth regulatory and Enrollment process knowledge in one line of business and working knowledge in an additional line of business
Level II: Proven ability to support and train peers
Ability to complete work in a traditional office environment under fluorescent lighting
Ability to arrive on time at work and as scheduled
Ability to meet minimum performance metrics
Ability to orally communicate
Ability to sit at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time
Must be able to travel across the enterprise
Ability to work in a home office for continuous periods of time for business continuity

Benefits

Comp & perks

Group health and/or dental insurance
Retirement plan
Wellness program
Paid time away from work
Paid holidays
Potential remote work on a case-by-case basis