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Healthcare Sales Representative II

2 months ago


New York, New York, United States NYC Health Hospitals Full time
Job Description

Job Title: Healthcare Sales Representative II

Job Summary:

We are seeking a highly motivated and customer-focused Healthcare Sales Representative II to join our team at NYC Health + Hospitals. As a key member of our sales team, you will be responsible for educating and assisting qualified individuals with purchasing affordable health insurance coverage and/or obtaining an eligibility determination for coverage in Qualified Health Plans (QHPs) and insurance affordability programs such as Medicaid and Child Health Plus (CHP) through the NY State of Health (MarketPlace).

Key Responsibilities:

  • Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (QHP) and insurance affordability programs such as Medicaid and Child Health Plus.
  • Assist consumers/applicants with calling the NY State of Health Customer Services Department for assistance with enrolling and/or providing verification documentation.
  • Conduct public education activities for consumers to raise awareness of available QHPs within the Marketplace.
  • Explain potential eligibility for public/governmental programs, how the federal health insurance premium tax credit and cost-sharing reductions work, and outline potential risk factor, if any, to consumers.
  • Describe the features and benefits of health insurance coverage, including cost-sharing mechanisms like deductibles, co-pays, co-insurance and how these work and/or affect the consumer.
  • Describe the different metal tiers within the Marketplace and how the benefits may change at different tiers based on the consumer's income.
  • Conduct presentations and participate in ACA forums and workshops upon request.
  • Assist consumers with submitting documents and information as required by the Marketplace via scan, fax, or mail.
  • Assist existing members with recertification, when applicable.
  • Assist consumers with the submission of premium payments when required.

Requirements:

  • Must have a High School Diploma or GED.
  • Minimum of three (3) years of Sales/Customer Relations experience required.
  • Public Speaking experience.
  • Must be in compliance with all conflict-of-interest standards and regulations.
  • Required to work evenings and weekends.
  • Licensure and/or Certification Required: Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification as an MFE.

Professional Competencies:

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication