Job Title: Medicare Representative
Department: Marketing Field Operations
Location: MetroPlus Health Plan
MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Purpose of Position: The Medicare Marketing Representative provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Marketing Representative is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Marketing Representative provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
-Identify prospective enrollees and determine eligibility for participation in MetroPlus Health Plan’s Medicare product.
-Understand and apply all policies and procedure pertaining to:
a. Disclosures and provisions of the MetroPlus Health Plan Medicare product.
b. Enrollment and disenrollment.
-Market MetroPlus Medicare line of business on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated.
-Educating enrollees on all aspects of the Plan, as well as answering questions regarding Plan’s features and benefits.
-Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes 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 the Outreach Representatives, Customer Service Representatives, Eligibility Representatives and other MetroPlus personnel to resolve member concerns regarding complaints and potential enrollments or disenrollments.
-Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members.
-Conduct and participate in telemarketing/outreach efforts as required.
-Required to complete Annual Model of Care Training
Qualifications for this position include:
-Must have an Active New York State Life, Accident and Health Insurance Agent License.
-High School graduation or evidence of having satisfactory passed a High School Equivalency Program
-Demonstrated skills in written and oral communication
-Minimum one year of experience in direct consumer contact, sales and/or social services; or a satisfactory equivalent combination of education, training and experience.
Please email resume to Indira Shaik at firstname.lastname@example.org. for consideration.