Sales Representative II - Staten Island (Bilingual Spanish Preferred)

Job Description

Job Description

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlus Health 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 Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health  has been committed to building strong relationships with its members and providers.

Position Overview

The Sales Representative II is responsible for educating and assisting qualified individuals with purchasing affordable health insurance coverage and / or obtaining an eligibility determination for coverage in Qualified Health Plans (QHPs) and insurance affordability programs such as Medicaid and Child Health Plus (CHP) through the NY State of Health (MarketPlace). The Sales Representative II is responsible for identifying and educating prospective members that do not have health insurance and / or are looking to change coverage as well as assisting existing members with recertification and education of benefits. The Sales Representative II is tasked with performing all duties in accordance with the Affordable Care Act (ACA) as well as all other pertinent rules and regulations.

Work Shifts

9 : 00 A.M – 5 : 00 P.M

Duties & Responsibilities

Educational / Enrollment Process

• Educate and provide assistance to qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (QHP) and insurance affordability programs such as Medicaid and Child Health Plus.
• Assist consumers / applicants with calling the NY State of Health Customer Services Department for assistance with enrolling and / or providing verification documentation.
• Conduct public education activities for consumers to raise awareness of available QHPs within the Marketplace.
• Explain potential eligibility for public / governmental programs, how the federal health insurance premium tax credit and cost-sharing reductions work, and outline potential risk factor, if any, to consumers.
• Describe the features and benefits of health insurance coverage, including cost-sharing mechanisms like deductibles, co-pays, co-insurance and how these work and / or affect the consumer.
• Describe the different metal tiers within the Marketplace and how the benefits may change at different tiers based on the consumer's income.
• Conduct presentations and participate in ACA forums and workshops upon request.
• Assist consumers with submitting documents and information as required by the Marketplace via scan, fax, or mail.
• Assist existing members with recertification, when applicable.
• Assist consumers with the submission of premium payments when required.

Regulatory / Compliance

Tactical

Minimum Qualifications

Licensure and / or Certification Required

Professional Competencies

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes :

#MHP50