Facilitated Enrollment Representative

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 meet 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. Obtain feedback from referral sources and prospective enrollees.
• Stimulate 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.
• Absorb and 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.

Requirements

• 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.