Health Benefits Representative

About the role

The Health Benefit Representative (HBR) educates and assists individuals in enrolling in affordable health insurance via the NY State of Health Marketplace, covering programs like Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans, and HARP. Responsibilities include explaining eligibility criteria, plan features, benefits, and cost-sharing, supporting document submissions, renewals, and premium payments, and providing culturally and linguistically appropriate assistance. The role involves conducting public education activities, community engagement, and maintaining detailed activity records using CRM systems. The HBR ensures compliance with ACA, privacy standards, and Fidelis Care policies, while staying updated on industry and regulatory changes.

Responsibilities

• Explain eligibility criteria, plan features, benefits, and cost-sharing
• Support document submissions, renewals, and premium payments
• Provide culturally and linguistically appropriate assistance
• Conduct public education activities and community engagement
• Maintain detailed activity records using CRM systems
• Ensure compliance with ACA, privacy standards, and Fidelis Care policies
• Stay updated on industry and regulatory changes
• Educate consumers and explain plan options
• Assist with document submission and support renewals
• Promote digital tools
• Conduct outreach
• Track activities, manage applications, and ensure data accuracy

Qualifications & Skills

• High School Diploma or GED
• 2+ years in managed care, sales, or customer service preferred
• Basic computer skills
• Public speaking experience
• Fluency in a second language (plus)
• Certification in NY State of Health training (mandatory) with recertifications
• Driver's license preferred for NYC, mandatory elsewhere

Work Environment

Field-based role within Brooklyn, NY.

Pay

Pay ranges from $23.23 to $39.61 hourly.

Schedule

Requires working evenings and weekends.

Benefits

• Health insurance
• 401K
• Tuition reimbursement
• Paid time off
• Flexible schedules