ACA Marketplace Patient Coverage Advisor - East Coast; Florida Resident

Pointcare is building a licensed ACA Marketplace distribution function connected to its existing patient base, clinic relationships, app workflows, service introductions, and coverage-support operations. The ACA Marketplace Patient Coverage Advisor is a hands‑on producer responsible for helping eligible patients understand Marketplace options, complete compliant enrollments, and resolve the follow‑through required after an application is submitted.

This role is specifically for a Florida‑resident producer and supports Florida plus an assigned eastern‑region footprint. It is not a traditional cold‑lead sales‑floor role. Pointcare provides patient opportunities, and the advisor owns enrollment, documentation, application follow‑up, effectuation support, retention/service, and patient education.

• Reports to:
  
  Coverage Distribution Manager
• Primary scope: ACA Individual Marketplace education, compliant enrollment, application follow‑up, effectuation/retention, and member service
• Regional assignment:
  Florida plus eastern‑region priority states based on licensing, certification, carrier availability, and patient demand
• Patient model:
  Service‑led coverage support using Pointcare patient relationships; no requirement to generate or purchase personal leads
• Employment:
  Regular full‑time W‑2 non‑exempt employee of Pointcare Inc.; remote from Florida
• Compensation: $24/hour + $15 per approved/accepted, compliant ACA enrollment
• Benefits:
  Pointcare full‑time employee benefits, including 100% employer‑paid employee‑only medical, dental, and vision coverage and 401(k) eligibility, subject to plan terms
• Schedule:
  
  Full‑time; scheduled Eastern Time patient coverage with OEP/peak‑season flexibility

Patients may enter through app opt‑ins, Medicaid‑loss transitions, age/coverage transitions, inbound coverage questions, clinic relationships, service introductions, outreach programs, or other valid Marketplace opportunities.

The role is patient‑first and compliance‑led. Enrollment is appropriate only when the patient has a valid enrollment pathway, required consent/disclosures are complete, and the selected coverage is appropriate for the patient’s stated needs.

OEP creates the broadest annual enrollment opportunity. Outside OEP, advisors primarily support patients with valid Special Enrollment Periods and ongoing post‑enrollment service needs.

The eastern‑region footprint is a routing and licensing assignment, not a separate compensation band. State assignments may change as Pointcare adds licenses, certifications, carrier access, and patient volume.

Pointcare provides the patient opportunities. Advisors are expected to own required service, callbacks, document chasing, and follow‑up rather than operate as one‑call closers.

• Consent and intake:
  Follow required consent, disclosure, identity/eligibility, and documentation workflows before quoting or enrollment activity.
• Eligibility and education:
  Support OEP/SEP workflows within authorized scope; explain Marketplace options, costs, provider/prescription considerations, and enrollment next steps in clear language.
• Enrollment:
  Complete accurate ACA Marketplace applications and enrollments through approved federal/state Marketplace, EDE, carrier, or other authorized systems.
• Application follow‑up:
  Track pending applications, verification requests, document needs, Marketplace/carrier issues, and assigned callbacks through resolution.
• Effectuation, retention and service:
  Support first‑payment/effectuation…