| Location | New York, NY |
| Salary | $50,000–$60,000 Per Year |
Summary of Position
Principal Accountabilities
Receive inbound calls directly from members/prospects or transfers from member services.
Educate and respond to inquiries from members about plan benefits, enrollment, and renewal options.
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. Assist individuals by completing the appropriate forms and/or renewal applications for NYSOH or LDSS (via phone or direct basis).
Function as a liaison between all EmblemHealth departments to help identify and capture prospect's issue resolution or concerns.
Work with Neighborhood Care and HUB (member services) teams to maintain and improve EmblemHealth's image as a High Quality and Affordable health plan in the community.
Maintain appointments, develop community marketing sites, establish relationships with community-based organizations, participate in healthrelated activities/special events including in person evening and weekend activities, create self-generated leads, and provide services to onsite walk-ins. Obtain feedback from referral sources and prospective enrollees.
Assist QHP, EP, Medicaid & Child Health Plus members with billing inquiries, enrollment inquiries and PCP assignments.
Utilize automated tools such as Avaya, Facets, Salesforce, Sales Cloud, Service Cloud & ePACES to perform daily duties and conduct telephonic outreach when necessary.
Develop and maintain appropriate understanding of the health care products related to job functions.
Regular attendance is an essential function of the job.
Performs other duties as assigned or required.
Qualifications
Education, Training, Licenses, Certifications
Relevant Work Experience, Knowledge, Skills, and Abilities
2 years of relevant work experience required
Driver's License and automobile with appropriate coverage is required for territories - Long Island, etc. (Optional)
Travel in the New York metropolitan area required
Must be able to work nights and weekends as required
Bi-lingual English/Spanish, English/Chinese, English/Hindi/Urdu/Punjaby/Bengali, English/Russian
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 certification
Additional Information