Operations Administrator I (Claims Processor)

Onebridge Benefits Inc•Buffalo, NY

11d•Onsite

About The Position

We're looking for an Operations Administrator to join our Operations Team. This role plays an integral part in supporting OneBridge account‑based health plans and is responsible for key operational processes including eligibility, enrollment, and claims administration. The ideal candidate is comfortable working independently while collaborating closely with team members to support our overall operational approach and culture.

Requirements

Six months of medical claims processing/medical billing experience, customer service experience preferably in a healthcare-related or social services setting; or a combination of experience
Accurate data entry skills, detail orientated and highly organized
Proficiency Microsoft Office products
Ability to meet or exceed quality standards for entered information
Individually driven as well as dedicated to working collaboratively with the team
Ability to meet all department goals to include accuracy and productivity
Excellent written and verbal communication skills
Strong analytical, problem-solving, and decision-making skills
Flexibility to work additional hours as needed

Nice To Haves

High school or equivalent (Preferred)

Responsibilities

Transcribe data accurately from multiple document sources into recordkeeping system
Evaluate and process reimbursement claim submissions in accordance with company policies and IRS guidelines
Review and apply appropriate action to incoming documents from covered participants and employer groups
Analyze data from reports and system information to identify and resolve errors prior to final substantiation
Collaboratively work with customer service vendors to provide first-class responses to service
Consistently maintain production standards based on metrics and processing goals