Marketplace Enrollment Specialist
emblem healthNew York, NY
Marketplace Enrollment Specialist
emblem healthNew York, NY
6 days ago
Occupations
Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and TravelSales and Related Workers, All OtherSales Representatives, Wholesale and Manufacturing, Except Technical and Scientific ProductsIndustries
Direct Health and Medical Insurance CarriersHMO Medical CentersDirect Life Insurance CarriersAbout the role
Job Title Responsible for making outbound calls to previous/current QHP, EP, Medicaid & Child Health Plus membership due to special projects, and renewal on a telephonic approach.
Principal Accountabilities:
Receive inbound calls directly from members/prospects or transfers from member services. Educate and respond to inquiries from members about plan benefits, enrollment, and renewal options. Present to, follow up and sell Individual Medicaid, Essential Plan, QHP and CHP products on a direct sales basis. Assist and enroll individuals by completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets. Assist individuals by completing the appropriate forms and/or renewal applications for NYSOH or LDSS (via phone or direct basis).Function as a liaison between all Emblem Health departments to help identify and capture prospect's issue resolution or concerns. Work with Neighborhood Care and HUB (member services) teams to maintain and improve Emblem Health's image as a High Quality and Affordable health plan in the community. Maintain appointments, develop community marketing sites, establish relationships with community-based organizations, participate in health-related activities/special events including in person evening and weekend activities, create self-generated leads, and provide services to onsite walk-ins. Obtain feedback from referral sources and prospective enrollees. Assist QHP, EP, Medicaid & Child Health Plus members with billing inquiries, enrollment inquiries and PCP assignments. Utilize automated tools such as Avaya, Facets, Salesforce, Sales Cloud, Service Cloud & ePACES to perform daily duties and conduct telephonic outreach when necessary. Develop and maintain appropriate understanding of the health care products related to job functions. Regular attendance is an essential function of the job. Performs other duties as assigned or required.
Qualifications: Education, Training, Licenses,
Certifications:
High School Diploma Relevant Work Experience, Knowledge, Skills, and Abilities 2 years of relevant work experience required Driver's License and automobile with appropriate coverage is required for territories Long Island, etc. (Optional)Travel in the New York metropolitan area required Must be able to work nights and weekends as required Bi-lingual English/Spanish, English/Chinese, English/Hindi/Urdu/Punjaby/Bengali, English/Russian Excellent interpersonal and presentation skills and the ability to work independently Excellent organizational and communication skills, both verbal and written Ability to develop strong relationships and influences in the community Ability to input and update data in database system Works independently and produces Self-Generated leads Ability to multi-task Successful completion of annual product training and testing to maintain certification
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JOB OVERVIEW
Experience level
Junior
Location
New York, NY
Occupation
Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel
Industry
Direct Health and Medical Insurance Carriers
Posted
6 days ago
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