Medicare Telephonic Sales Representative
6 days ago
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About MetroPlusHealthMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products, including New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists, and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Job OverviewThe Medicare Telephonic Sales Representative provides greater access to health insurance by providing education and assistance to Medicare individuals. The role involves health education through the distribution of health ed. materials and arranging for health screenings. Additionally, the representative helps facilitate the continuance of health insurance and offers assistance with recertification.
Key Responsibilities- Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth Plan's Medicare product.
- Understand and apply all policies and procedures pertaining to disclosures and provisions of the MetroPlusHealth Plan Medicare product, enrollment, and disenrollment.
- Conduct telephonic/virtual visits and personalized appointments as needed to complete the enrollment process.
- Market MetroPlusHealth Medicare line of business at virtual events and during telephonic conversations.
- Understand covered benefits, non-covered benefits, exclusions, and exemptions.
- Educate enrollees on all aspects of the Plan, including answering questions regarding Plan features and benefits.
- Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies.
- Complete applications and field reports, such as Presumptive Eligibility reports, and personnel forms (time sheets, expense reports, etc.) in a timely and accurate manner.
- Work closely with Outreach Representatives, Customer Service Representatives, Eligibility Representatives, and other MetroPlusHealth personnel to resolve member concerns regarding complaints and potential enrollments or disenrollments.
- Establish and maintain a positive working relationship with facility and site staff, community and provider organizations, as well as City and State regulatory agencies.
- Assist members in accessing healthcare, transportation needs, and other services or issues as they occur and pertain to members.
- Conduct and participate in telemarketing/outreach efforts as required.
- Develop a presence in the local community to help generate enrollments.
- Virtually present to large groups of seniors.
- Field presentations, enrollments, and activities required as needed by the department or community partner.
- Required to complete Annual Medicare Training.
- Must have a High School Diploma or GED, College Degree or coursework preferred.
- 2-3 years of Sales/Customer Relations experience required.
- Medicare Sales experience preferred.
- Public speaking experience.
- Excellent organizational, written, and communication skills.
- Excellent verbal and presentation skills are necessary.
- Excellent problem-solving skills.
- Highly motivated and goal-directed.
- Must be able to work in a multi-ethnic, multi-cultural environment.
- Must be sensitive to chronic conditions and disabilities.
- Bi-Lingual and Multi-Lingual a plus.
- Must be self-confident, independent thinker, and maintain a professional presentation of self.
- Must demonstrate flexibility and willingness to learn.
Licensure and/or Certification Required
- Must possess a valid NYS Life, Accident, and Health License at the time of employment. License must remain valid at all times during employment with no lapse in coverage. Must maintain all required continuing education requirements and renew license in advance of its expiration.
- Valid NYS Driver's License is a plus.
Professional Competencies:
- Integrity and Trust
- Customer Focus
- Functional/Technical skills
- Written/Oral Communication
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