Responsible for assisting patients enroll in health insurance coverage and ensure they maintain accurate and timely eligibility. Support patients applying for health coverage through Healthcare.gov or state-based exchanges or through NJ Medicaid. Guide patients through choosing appropriate plans, completing required documentation, and navigating plan rules and deadlines. This role involves working closely with state health agencies, healthcare providers, and patients to ensure eligibility is accurately determined and documented.

3 to 5 years of experience in healthcare enrollment High school diploma or equivalent requiredAssociate’s degree in healthcare administration, public health, or related field preferredBilingual fluency, particularly in Spanish, is highly preferredWorking knowledge of health insurance terminology and plan structures (e.g., PPO, HMO, etc.)Proficiency in enrollment platforms and data entry systemsFamiliarity with HIPAA and ACA compliance requirementsAbility to interpret and apply eligibility criteria and federal/state healthcare regulationsBasic understanding of EDI (electronic data interchange) in healthcareEmpathetic, patient-first communication style Strong attention to detail and accuracy in data handlingAnalytical thinking and problem-solving for eligibility questionsAdaptability to regulatory and process changesPossesses and demonstrates excellent communication, organizational, technical, and interpersonal skillsAbility to handle sensitive or confidential information with discretion Strong knowledge of Medicaid and Charity Care eligibility guidelinesPrevious work in a hospital, managed care organization, or insurance companyExperience enrolling individuals in government or public health programs