ALKEME Insurance · 14 hours ago
ACA Health Insurance Enrollment Specialist
ALKEME Insurance is seeking an ACA Health Insurance Enrollment Specialist who will manage and support client enrollments through the Affordable Care Act Marketplace. This role involves ensuring accurate application processing, regulatory compliance, and timely resolution of issues related to enrollments, billing, and Marketplace escalations.
Responsibilities
Process and manage ACA applications for new enrollments, renewals, and life event changes
Ensure accuracy, completeness, and timely submission of all Marketplace applications
Handle Marketplace terminations at the end of each month and communicate changes to clients as needed
Manage and resolve Marketplace escalations related to eligibility, application errors, and account access
Maintain up-to-date knowledge of ACA regulations and eligibility requirements
Ensure all enrollments comply with federal regulations, including immigration-related eligibility guidelines
Manage and resolve carrier billing issues on behalf of clients
Act as a liaison between clients, carriers, and Marketplace entities to ensure coverage accuracy
Follow up on discrepancies to prevent coverage lapses or termination
Generate and maintain reports of outstanding client actions and enrollment issues
Proactively follow up with clients, CMS, and state exchanges to resolve CMS Data Matching Issues (DMI)
Track enrollment status and ensure timely resolution of all open items
Qualification
Required
High school diploma or equivalent
Prior experience in health insurance enrollment, specifically ACA Marketplace enrollment
Strong understanding of ACA regulations and eligibility requirements
Excellent attention to detail and organizational skills
Strong problem-solving, communication, and client service skills
Ability to work independently and manage a high-volume workload
Preferred
Associate's or Bachelor's degree
Experience working with government exchanges, carriers, or enrollment platforms
Knowledge of immigration law as it relates to health insurance enrollment
Company
ALKEME Insurance
ALKEME is a full-service insurance agency providing businesses and individuals with an extensive array of commercial and personal insurance, employee and executive benefits, retirement and wealth management services.
Funding
Current Stage
Late StageTotal Funding
unknown2025-06-16Private Equity
Leadership Team
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