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- 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
- 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.
Facilitated Enrollment Representative - New York, United States - EmblemHealth
Description
Description of Duties: