Medicare Sales Representative I

2 months ago


New York, United States MetroPlusHealth Full time

Position Overview

The Medicare Sales Representative provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Sales Representative is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Sales Representative provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.

Job Description

Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth’s Medicare product.  Understand and apply all policies and procedure pertaining to:Disclosures and provisions of the MetroPlusHealth Medicare product. Enrollment and disenrollment.  Conduct home visits, and personalized appointments as needed to complete the enrollment process.  Market MetroPlusHealth Medicare line of business on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated.  Understand the covered benefits, non-covered benefits, exclusions and exemptions.  Educating enrollees on all aspects of the Plan, as well as answering questions regarding Plan’s features and benefits.  Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation.  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 the Outreach Representatives, Customer Service Representatives Eligibility Representatives and other MetroPlusHealth personnel to resolve member concerns regarding complaints and potential enrollments or disenrollment’s. 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 health care, 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.  Making presentations to large groups of seniors.  Required to complete Annual Medicare Training

Minimum Qualifications

Must have a High School Diploma or equivalency; College Degree or coursework preferred  2-3 years of Sales/Customer Relations experience required  Public speaking experience Medicare Sales experience preferred  Bi-Lingual and Multi-Lingual a plus

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 Must be self-confident, an independent thinker, and maintain a professional presentation of self  Must demonstrate flexibility and willingness to learn Excellent organizational, written, presentation, and communication skills  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

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