Specialist Healthcare Enrollment

St. Joseph's Health; Paterson (NJ); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive salary

Robust health and dental benefits

403b retirement plan options with company match

Paid time off (PTO) and paid holidays

Tuition reimbursement

Employee Assistance Program

Life Insurance Options

Job summary

St. Joseph's Health in Paterson, NJ is seeking an experienced enrollment specialist to assist patients with health insurance coverage. The ideal candidate will have 3-5 years of healthcare enrollment experience, be certified as an Application Counselor, and preferably bilingual in Spanish.

Benefits include competitive salary, health plans, retirement options, and potential for tuition reimbursement. Join our dedicated team to empower patients in their healthcare journey.

Qualifications

• Bilingual fluency in Spanish is highly preferred.
• Ability to handle sensitive or confidential information with discretion.
• Experience enrolling individuals in government or public health programs.

Responsibilities

• Assist patients in enrolling in health insurance coverage.
• Guide patients through choosing appropriate plans and completing documentation.
• Work closely with healthcare providers to ensure eligibility is determined.

Skills

Certified Application Counselor (CAC) for ACA Marketplace Enrollment

3 to 5 years of experience in healthcare enrollment

Bilingual fluency, particularly in Spanish

Working knowledge of health insurance terminology and plan structures

Proficiency in enrollment platforms and data entry systems

Familiarity with HIPAA and ACA compliance requirements

Ability to interpret eligibility criteria and healthcare regulations

Analytical thinking and problem-solving

Strong attention to detail and accuracy in data handling

Education

High school diploma or equivalent

Associate’s degree in healthcare administration, public health, or related field preferred

Job description

Job Description

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.

Qualifications

• Certified Application Counselor (CAC) for ACA Marketplace Enrollment
• 3 to 5 years of experience in healthcare enrollment
• High school diploma or equivalent required
• Associate’s degree in healthcare administration, public health, or related field preferred
• Bilingual fluency, particularly in Spanish, is highly preferred
• Working knowledge of health insurance terminology and plan structures (e.g., PPO, HMO, etc.)
• Proficiency in enrollment platforms and data entry systems
• Familiarity with HIPAA and ACA compliance requirements
• Ability to interpret and apply eligibility criteria and federal/state healthcare regulations
• Basic understanding of EDI (electronic data interchange) in healthcare
• Empathetic, patient-first communication style
• Strong attention to detail and accuracy in data handling
• Analytical thinking and problem-solving for eligibility questions
• Adaptability to regulatory and process changes
• Possesses and demonstrates excellent communication, organizational, technical, and interpersonal skills
• Ability to handle sensitive or confidential information with discretion
• Strong knowledge of Medicaid and Charity Care eligibility guidelines
• Previous work in a hospital, managed care organization, or insurance company
• Experience enrolling individuals in government or public health programs

Benefits Eligibility

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD: Long Term Disability
• Life Insurance Options
• Onsite Day care Program
• Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
• 403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

Pay Transparency

St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc." The salary range does not include incentives, differential pay or other forms of compensation.