Medicare Sales Rep II

Medicare Sales Rep II Department

FACILITATED ENROLLMENT

Location Manhattan Job

ID133029

Civil Service ClassificationNon Competitive Hire In Rate$65,592.00 (for employees new to HHC) Salary Range$65,592.00 - $65,592.00 Pay FrequencyYear Full/Part TimeFull-Time Regular/TemporaryRegular Regular ShiftN/A About NYC Health + Hospitals MetroPlusHealth 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, 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. 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. Position Overview The Medicare Sales Representative II provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Sales Representative II is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Sales Representative II provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification. Work Shifts 9:00 A.M - 5:00 P.M Duties & Responsibilities Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth's Medicare product. Understand and apply all policies and procedure pertaining to: Disclosures and provisions of the MetroPlusHealth Medicare product. Enrollment and disenrollment. 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 sites as designated. Understand the covered benefits, non-covered benefits, exclusions, and exemptions. 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 MetroPlusHealth personnel to resolve member concerns regarding complaints and potential enrollments or disenrollments. Establish and maintain a positive working relationship with facility and site staff community and provider organizations, as well as City and State regulatory agencies. 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. Provide detailed reports of production and outreach activities. Develop a presence in the local community to help generate enrollments. Making presentations to large groups of seniors. Required to complete Annual Medicare Training Minimum Qualifications 1. Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department; and 2. Possession of a High School diploma or evidence of having satisfactorily passed a High School Equivalency Program; and, 3. Satisfactory completion of training and orientation administered by MHP personnel; and, 4. One year of experience in direct consumer contact, sales and/or social services; or, 5. A satisfactory equivalent combination of education, training, and experience. However, all incumbents must possess the required licensure as described in one above. 6. Knowledge of a second language may be required. For appointment to

Level II:

1. One year of experience in Assignment Level I or one additional year of experience as described above. For appointment to

Level III:

1. One year of experience in Assignment Level II or two additional years of experience as described above.

Special Notes:

Possession of a valid Life/Accident / Health Insurance Agent License issued by the New York State Insurance Department must be maintained in order to remain in this position. Possession of a valid New York State Drivers License may be required. The use of this position is restricted to MetroPlus only. Benefits NYC Health and Hospitals offers a competitive benefits package that includes: 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