Licensed Enrollment Processor - 244519 Job at Medix™, Boca Raton, FL

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  • Medix™
  • Boca Raton, FL

Job Description

Job Overview:

We are seeking a Licensed Enrollment Processor to join a growing Enrollment Operations Team. This role is primarily focused on verifying, auditing, and submitting health insurance enrollment applications through the ACA Marketplace. While not a full sales position, a small percentage of the responsibilities (less than 20%) will include CMS-compliant 3-way calling and light customer interaction.

Work Schedule:

  • Tuesday to Thursday: 9:00 AM – 5:30 PM
  • Friday and Saturday: 8:30 AM – 5:00 PM
  • Lunch Break: 30 minutes daily

Key Responsibilities:

  • Work in a CRM (including Salesforce) to review and process qualified lead forms submitted by field representatives.
  • Accurately enter enrollment information into HealthSherpa and ensure compliance with ACA guidelines.
  • Verify applicant data and documentation such as pay stubs or tax returns.
  • Perform outreach via phone/email to gather any missing or incorrect information from applicants.
  • Support reenrollment and retention by ensuring all eligibility documents are in place.
  • Utilize a “drip strategy” for ongoing communication when needed, though this is not a primary function.
  • Conduct 3-way CMS-compliant calls, making up to 25% of the average day.

Required Skills & Qualifications:

  • Active Florida Health Insurance License (must be obtained prior to start date ).
  • FFM Certification (or ability to obtain before start — certification process takes a few hours and is free).
  • Minimum 3 years of professional business experienc e , preferably in health insurance, compliance, or enrollment roles.
  • Strong phone communication skills, with an articulate and empathetic tone.
  • Attention to detail and commitment to accuracy.
  • CRM experience (preferably Salesforce).
  • Proficiency with Microsoft Office Suite (Outlook, Excel, Word).
  • Comfortable working full-time on-site in Boca Raton, FL.
  • Familiarity with HealthSherpa or similar ACA enrollment platforms.

Preferred Qualifications:

  • Multi-state health license (states such as SC, GA, LA, TN, MS, KS, TX, OK, OH, IL preferred).
  • Prior experience in ACA re-enrollment, retention, or subsidy verification processes.
  • Experience working with partially completed or expired applications.

Job Tags

Full time, Work at office, Saturday,

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