Medicare Sales Representative II
Company: MetroPlusHealth
Location: New York
Posted on: May 16, 2025
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
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 30
years, MetroPlusHealth has been committed to building strong
relationships with its members and providers to enable New Yorkers
to live their healthiest life. 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.
Job Description
- 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
- Must have a High School Diploma or GED, College Degree or
coursework preferred
- 3-5 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
- Ability to coordinate and execute Sales events
- Assist with departmental projects when needed
- Computer skills required (Excel, PowerPoint, Word, Microsoft
teams) Licensure and/or Certification Required:
- Must possess a valid NYS Life, Accident and Health Agent
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
Keywords: MetroPlusHealth, West Babylon , Medicare Sales Representative II, Sales , New York, New York
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