Facilitated Enrollment Representative - New York, United States - EmblemHealth

    Default job background
    Description

    Description of Duties:


    • 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.
    • Conduct home visits and other appointments as needed to complete the application and obtain all required documentation.
    • Develop and maintain appropriate understanding of the health care products related to sales responsibility. Successfully complete periodic certification and testing to maintain knowledge level established by regulations.
    • Maintain appointments, develop community marketing sites, establish relationship with community based organizations, Participate in health-related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees.
    • Stimulates word-of-mouth referrals from participants, prospects and their families.
    • Utilize automated tools to perform individual enrollment duties.
    • Refer all existing members up for recertification to Retention Specialist when applicable.
    • Perform recertification activities when necessary.
    • Function as a liaison between all EmblemHealth departments to help identify and capture prospect's problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth's image as a High Quality and Affordable health plan in the community.
    • Assist members with selecting a Primary Care Physician (PCP) using the provider directory.
    • Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers.
    • Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO's). All activity entered into Salesforce tool.
    • Performs other duties as assigned or required
    • Regular attendance is an essential function of the job
    Qualifications:


    • High School Diploma and/or 4 years of relevant work experience.
    • Driver's License and automobile with appropriate coverage is required for territories – Long Island, etc.
    • Travel in the New York metropolitan area required.
    • Must be able to work nights and weekends as required.
    • 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 regulatory certification.