Marketplace Enrollment Specialist - Field / On-site

Sales Opportunity At EmblemHealth

Responsible for inbound / outbound call activity generating enrollments and renewals for Medicaid QHP, EP, Medicaid & Child Health Plus membership.

Participate in engagement events to reach members via organization and health related events in the community.

Resolve member issues impeding renewal or enrollment as well as general member assistance.

Principal Accountabilities :

• 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.
• 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 Emblem Health'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 health-related 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.

Qualifications :

Additional Information :