Remote Health Coverage Enrollment Expert

Naukri Mitra; United States; Remote; USD 70,000 - 85,000; Full time

Benefits offered by this job

Annual tech stipend

Robust health benefits

Professional development fund

Job summary

Naukri Mitra seeks a detail-oriented Remote Health Insurance Enrollment Specialist to join our mission-driven, tech-enabled team. You will guide applicants through enrollment, verify eligibility, and ensure HIPAA compliance while delivering omnichannel support.

This fully remote role offers a strong impact, collaboration with product and support teams, and growth opportunities through certifications and mentorship. ACA knowledge and CRM proficiency are highly valued.

Qualifications

• Proven experience in health insurance enrollment, claims processing, or healthcare administration.
• Solid understanding of ACA, Medicaid, and marketplace plans.
• Proficiency in CRM systems and health information portals.
• Strong communication skills—both written and verbal.
• A self-starter with the discipline to manage workflows independently in a remote environment.
• Multilingual (Spanish preferred).
• State health insurance license (not required but a strong plus).

Responsibilities

• Enrollment Support and Guidance: Guide applicants through health insurance enrollment processes across multiple digital platforms.
• Eligibility and Compliance: Use real-time data tools and EDI transactions to confirm eligibility and streamline application accuracy.
• Ensure adherence to HIPAA, ACA mandates, and state-specific insurance laws.
• Client Interaction and Documentation: Resolve inquiries using CRM systems and provide omnichannel assistance via chat, email, and phone.
• Maintain accurate records within our cloud-based systems, ensuring a seamless data trail for every applicant.
• System Improvement Collaboration: Collaborate with product and tech teams to report system bugs and suggest UX improvements, actively shaping the tools you use.

Skills

Health insurance enrollment

Claims processing

Healthcare administration

ACA familiarity

CRM systems

Strong communication

Remote work

Spanish (preferred)

Tools

Salesforce Health Cloud

Twilio Flex

Tableau

Power BI

Zendesk

EDI gateways

Job description

Naukri Mitra seeks a detail-oriented Remote Health Insurance Enrollment Specialist to join our mission-driven, tech-enabled team. You will guide applicants through enrollment, verify eligibility, and ensure HIPAA compliance while delivering omnichannel support.

This fully remote role offers a strong impact, collaboration with product and support teams, and growth opportunities through certifications and mentorship. ACA knowledge and CRM proficiency are highly valued.