ACA, which stands for the Affordable Care Act (also known as Obamacare), is a major healthcare law that changed how health insurance works in the United States. When you see this term in resumes or job descriptions, it usually refers to experience with health insurance regulations, compliance, and customer service related to this law. Insurance companies, hospitals, and healthcare organizations need people who understand how the ACA affects their business, from helping customers choose insurance plans to making sure the company follows all the rules.
Managed customer service team handling ACA marketplace enrollment questions
Ensured company compliance with Affordable Care Act regulations
Led training programs for staff on ACA insurance plans and benefits
Processed Obamacare applications and eligibility determinations
Typical job title: "ACA Specialists"
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Q: How would you handle implementing major ACA policy changes across an organization?
Expected Answer: A senior candidate should discuss experience with change management, training programs, updating procedures, and ensuring compliance across departments while minimizing disruption to operations.
Q: Describe your experience with ACA reporting requirements and compliance oversight.
Expected Answer: Should demonstrate knowledge of annual reporting requirements, experience managing teams handling compliance, and ability to work with different departments to gather necessary information.
Q: How do you explain complex ACA requirements to customers or employees?
Expected Answer: Should show ability to break down complicated healthcare regulations into simple terms and experience helping people understand their insurance options and requirements.
Q: What experience do you have with ACA enrollment periods and special enrollment circumstances?
Expected Answer: Should be able to explain the regular enrollment timeline, qualifying life events, and process for handling special enrollment periods.
Q: What are the basic components of an ACA-compliant health plan?
Expected Answer: Should be able to list essential health benefits required by the ACA and explain basic concepts like preventive care coverage and pre-existing conditions.
Q: How do you determine if someone qualifies for a subsidy under the ACA?
Expected Answer: Should understand the basic income requirements and be able to explain how to help customers determine their eligibility for financial assistance.