waypointjobs

EmblemHealth

Marketplace Enrollment Specialist

new york, NY

Check who can apply and the requirements below before continuing.

About this opportunity

EmblemHealth lists this Marketplace Enrollment Specialist opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

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:

Hiring Range: 50,000- 60,000

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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