Facilitated Enrollment Representative

EmblemHealth is seeking innovative and dynamic Sales Professionals to assist and enroll potential members to Individual Medicaid, Essential Plan, Qualified Health Plan (QHP) and Child Health Plus (CHP) products. In this role, you will play an integral part in assisting individuals with completing the appropriate application forms, obtain required documentation necessary for enrollment, and meeting necessary enrollment targets.

If you are interested in growing your career and supporting your community, we want to speak with you!

Job Responsibilities-

• Present to, follow up and enroll Individual Medicaid, Essential Plan, QHP and CHP products.
• 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).
• Responsible to enter all activity into Salesforce tool.
• Performs other duties as assigned or required.
• Regular attendance is an essential function of the job.