Facilitated Enrollment Representative

EmblemHealth; New York (NY); On-site; USD 50,000 - 75,000; Full time

Job summary

EmblemHealth is seeking a field-based Enrollment Specialist to present, enroll, and maintain patient enrollments for Medicaid and related plans across the New York area.

The role requires home visits, documentation gathering, and cultivation of community relationships. Candidates should be able to travel and work evenings or weekends as necessary, with Salesforce managing all activities.

Qualifications

• High School Diploma or equivalent.
• 4 years of relevant work experience preferred.
• Excellent interpersonal and presentation skills.
• Strong organizational and written communication abilities.
• Ability to work independently and generate leads.
• Willingness to travel within the NY metro area and work nights/weekends as required.

Responsibilities

• Present, follow up, and sell Medicaid, Essential Plan, QHP and CHP products on a direct sales basis.
• Conduct home visits and enroll individuals by completing applications and gathering documentation.
• Maintain knowledge of health care products and complete periodic certification.
• Develop community relationships, attend events, and generate leads.
• Refer existing members for recertification and perform recertification activities as needed.
• Collaborate with EmblemHealth departments and assist members in selecting PCPs.
• Enter all activity into Salesforce and maintain enrollment books.
• Regular attendance is required.

Skills

Interpersonal skills

Presentation skills

Organizational skills

Communication skills

Independent work

Self-generated leads

Multi-tasking

Education

High School Diploma

4 years relevant work experience

Tools

Salesforce

Job description

• 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.
• Conduct home visits and other appointments as needed to complete the application and obtain all required documentation.
• Develop and maintain appropriate understanding of the health care products related to sales responsibility. Successfully complete periodic certification and testing to maintain knowledge level established by regulations.
• Maintain appointments, develop community marketing sites, establish relationship with community based organizations, Participate in health-related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees.
• Stimulates word-of-mouth referrals from participants, prospects and their families.
• Utilize automated tools to perform individual enrollment duties.
• Refer all existing members up for recertification to Retention Specialist when applicable.
• Perform recertification activities when necessary.
• Function as a liaison between all EmblemHealth departments to help identify and capture prospect’s problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth’s image as a High Quality and Affordable health plan in the community.
• Assist members with selecting a Primary Care Physician (PCP) using the provider directory.
• Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers.
• Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s). All activity entered into Salesforce tool.
• Performs other duties as assigned or required
• Regular attendance is an essential function of the job.

Description Of Duties

• 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.
• Conduct home visits and other appointments as needed to complete the application and obtain all required documentation.
• Develop and maintain appropriate understanding of the health care products related to sales responsibility. Successfully complete periodic certification and testing to maintain knowledge level established by regulations.
• Maintain appointments, develop community marketing sites, establish relationship with community based organizations, Participate in health-related activities / special events including evening and weekend activity, create self-generated leads, and provide services to walk-ins. Obtains feedback from referral sources and prospective enrollees.
• Stimulates word-of-mouth referrals from participants, prospects and their families.
• Utilize automated tools to perform individual enrollment duties.
• Refer all existing members up for recertification to Retention Specialist when applicable.
• Perform recertification activities when necessary.
• Function as a liaison between all EmblemHealth departments to help identify and capture prospect’s problems or concerns. Work with Neighborhood care team to maintain and improve EmblemHealth’s image as a High Quality and Affordable health plan in the community.
• Assist members with selecting a Primary Care Physician (PCP) using the provider directory.
• Present EmblemHealth insurance products and benefit plans to community groups, small businesses and other prospective subscribers.
• Develop and execute sales plan which focuses on growth of the individual products in the assigned neighborhood. Maintain and grow book of enrollments. Enrollment activities include on-site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO’s). All activity entered into Salesforce tool.
• Performs other duties as assigned or required
• Regular attendance is an essential function of the job.

Qualifications

• High School Diploma and/or 4 years of relevant work experience.
• Driver’s License and automobile with appropriate coverage is required for territories – Long Island, etc.
• Travel in the New York metropolitan area required.
• Must be able to work nights and weekends as required.
• Excellent interpersonal and presentation skills and the ability to work independently.
• Excellent organizational and communication skills, both verbal and written.
• Ability to develop strong relationships and influences in the community.
• Ability to input and update data in database system.
• Works independently and produces Self-Generated leads
• Ability to multi-task
• Successful completion of annual product training and testing to

maintain regulatory certification.

Additional Information

• Requisition ID: 1000003000_37
• Hiring Range: $50,000- $75,000