Medicare Sales Rep I

About MetroPlusHealth

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, and the Essential Plan. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists, and participating clinics. For more than 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

About the Role

The Medicare Sales Representative II provides greater access to health insurance by educating and assisting Medicare individuals. This role involves health education through the distribution of materials, arranging health screenings, providing facilitated enrollment, assisting with recertification, and helping members maintain health insurance coverage.

Responsibilities

• Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth’s Medicare product.
• Understand and apply all policies and procedures pertaining to disclosures, provisions, enrollment, and disenrollment of the MetroPlusHealth Medicare product.
• Conduct home visits and personalized appointments as needed to complete the enrollment process.
• Market MetroPlusHealth Medicare line of business on-site at hospitals, senior centers, assisted living facilities, community events, and other designated sites.
• Understand covered benefits, non-covered benefits, exclusions, and exemptions.
• Educate enrollees on all aspects of the Plan, including answering questions regarding features and benefits.
• Keep informed and adhere to current marketing activity guidelines set forth by regulatory agencies, providing enrollees with all corresponding materials and documentation.
• Complete applications and field reports such as Presumptive Eligibility reports and personnel forms (time sheets, expense reports, etc.) in a timely and accurate manner.
• Work closely with Outreach Representatives, Customer Service Representatives, Eligibility Representatives, and other MetroPlusHealth personnel to resolve member concerns regarding complaints, enrollments, or disenrollments.
• Establish and maintain positive working relationships with facility and site staff, community and provider organizations, and City and State regulatory agencies.
• Assist members in accessing healthcare, transportation needs, and other services as they arise.
• Conduct and participate in telemarketing and outreach efforts as required.
• Provide detailed reports of production and outreach activities.
• Develop a presence in the local community to help generate enrollments.
• Make presentations to large groups of seniors.
• Complete Annual Medicare Training.

Requirements

• High School Diploma or GED; College Degree or coursework preferred.
• 3-5 years of Sales/Customer Relations experience required.
• Medicare Sales experience preferred.
• Public speaking experience.
• Excellent organizational, written, and communication skills.
• Excellent verbal and presentation skills.
• Excellent problem-solving skills.
• Highly motivated and goal-directed.
• Ability to work in a multi-ethnic, multi-cultural environment.
• Sensitivity to chronic conditions and disabilities.
• Bi-Lingual and Multi-Lingual a plus.
• Self-confident, independent thinker with a professional demeanor.
• Demonstrated flexibility and willingness to learn.
• Ability to coordinate and execute Sales events.
• Assist with departmental projects when needed.
• Computer skills required (Excel, PowerPoint, Word, Microsoft Teams).

Licensure and/or Certification

• Must possess a valid NYS Life, Accident, and Health Agent License at the time of employment. License must remain valid at all times during employment with no lapse in coverage.
• Must maintain all required continuing education requirements and renew the license in advance of its expiration.
• Valid NYS Driver’s License is a plus.

Benefits

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week.
• Retirement Savings and Pension Plans.
• Paid Holidays and Vacation in accordance with employees' collectively bargained contracts.
• Loan Forgiveness Programs for eligible employees.
• College tuition discounts and professional development opportunities.
• College Savings Program.
• Union Benefits for eligible titles.
• Multiple employee discounts programs.
• Commuter Benefits Programs.