Remote Health Insurance Enrollment Specialist

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

Remote Health Insurance Enrollment Specialist Job Overview Location: Remote (U.S.-based) Employment Type: Full-Time Annual Salary: $77,389

Join a Mission-Driven Tech-Enabled Team Do you take pride in creating outstanding digital support experiences that make a difference? We're seeking a detail-oriented and tech-savvy Remote Health Insurance Enrollment Specialist to join our innovative team. As a digitally native organization focused on streamlining the healthcare journey, we combine cutting-edge platforms with human-centered design to transform how people enroll in health coverage. This is more than just a job. It’s a chance to empower thousands with access to affordable, high-quality healthcare. Work remotely while impacting lives—every single day. With a mission to simplify the complex, our team thrives on reimagining traditional processes. You'll play an integral role in eliminating friction for members as they navigate the health system. Join a forward-thinking company that values empathy, creativity, and measurable impact. We believe that innovation is not just about technology—it's about people. Team members are encouraged to contribute fresh perspectives, experiment with solutions, and contribute to a workplace that celebrates progress. If you're looking for a role where purpose meets potential, you've found your fit.

Key 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.

Tools and Technologies

• Customer Relationship Management Salesforce Health Cloud
• Communication Platforms Twilio Flex
• Data and Insights Tools Tableau & Power BI
• Support and Ticketing Systems Zendesk
• Data Transmission and Security Secure EDI Gateways

Work Environment and Culture

We are a fully remote team embracing flexibility, autonomy, and collaboration. Expect regular virtual standups, team retrospectives, and innovation sprints. Our culture is rooted in transparency, purpose, and continuous learning. You’ll thrive here if you love connecting with people through technology and value precision as much as empathy.

Fast Facts

• 94% employee satisfaction score
• 42% YoY growth in member enrollments
• 98% first-call resolution rate

Qualifications and Skills

Core Requirements

• 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 critical thinker capable of evaluating and understanding policy data and benefits
• Self-starter with the discipline to manage workflows independently in a remote environment

Preferred Qualifications

• Multilingual (Spanish preferred)
• State health insurance license (not required but a strong plus)

Why You’ll Love Working Here

• Work-from-home freedom with a structured support system
• High-impact role with measurable outcomes
• Direct input into product and customer service innovation
• Inclusive, mission-led team that values your voice
• Annual tech stipend, robust health benefits, and professional development fund

Career Growth and Advancement

• We believe in recognizing talent and cultivating careers. Whether you aim to move into remote policy advising, specialize in health data analytics, or become a compliance strategist, our transparent career ladder is designed to help you grow.

Development Opportunities

• Monthly leadership chats
• Sponsored certification programs (e.g., AHIP, HIPAA)
• Access to a mentorship network of health tech experts

Building a Global Workforce: Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.