Healthcare Enrollment Specialist
St. Joseph's Health, Paterson, NJ, United States
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Healthcare Enrollment Specialist
role at
St. Joseph's Health .
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
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
About Us St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
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 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.
About The Team St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet‑designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Other
Industries Hospitals and Health Care
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Healthcare Enrollment Specialist
role at
St. Joseph's Health .
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
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
About Us St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
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 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.
About The Team St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet‑designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Other
Industries Hospitals and Health Care
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