Marketplace Enrollment Specialist

Summary of Position

• Responsible for making outbound calls to previous/current QHP, EP, Medicaid & Child Health Plus membership due to special projects, and renewal on a telephonic approach.

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

• High School Diploma

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

• Requisition ID: 1000003196
• Hiring Range: 50,000- 60,000