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 to enable New Yorkers to live their healthiest life.

Position Overview

The Medicare Telephonic Sales Representative provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Telephonic Sales Representative is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Telpeohnic Sales Representative helps facilitate the continuance of health insurance and offers assistance with recertification.

Job Description

• Identify prospective enrollees and determine eligibility for participation in MetroPlusHealth Plan’s Medicare product.
• Understand and apply all policies and procedure pertaining to:
• Disclosures and provisions of the MetroPlusHealth Plan Medicare product.
• Enrollment and disenrollment.
• Conduct telephonic/virtual visits, and personalized appointments as needed to complete the enrollment process.
• Market MetroPlusHealth Medicare line of business at virtual events and during telephonic conversations.
• Understand the covered benefits, non-covered benefits, exclusions and exemptions.
• Educate 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 disenrollment’s.
• 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.
• Develop a presence in the local community to help generate enrollments.
• Virtually present to large groups of seniors.
• Field presentation, enrollments, and activity required as needed by the department or community partner. 
• Required to complete Annual Medicare Training

Minimum Qualifications

• Must have a High School Diploma or GED, College Degree or coursework preferred
• 2-3 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 are necessary.
• Excellent problem-solving skills
• Highly motivated and goal directed
• Must be able to work in a multi-ethnic, multi-cultural environment
• Must be sensitive to chronic conditions and disabilities
• Bi-Lingual and Multi-Lingual a plus
• Must be self-confident, independent thinker and maintain a professional presentation of self
• Must demonstrate flexibility and willingness to learn

Licensure and/or Certification Required

• Must possess a valid NYS Life, Accident and Health 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 license in advance of its expiration.
• Valid NYS Driver’s License is a plus

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication

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