MarketPlace FE/RS- Hindi

  • Bronx, New York

Employment Type

: Full-Time

Industry

: Miscellaneous



Specialist is responsible for retaining existing Medicaid, Child Health Plus
(CHP), Essential Plan (EP) 1 & 2 and Qualified Health Plan (QHP) members.
Incumbent must demonstrate a proven ability to use and operate a laptop and
other technical devices; working knowledge of Microsoft Office environment.
Check out the video job description here !

Duties_And_Responsibilities
* Identify and educate potential members on all aspects of the plan
including answering questions regarding plan s features and benefits.
Responsible for identifying and assisting current members who are due to
recertify their healthcare coverage for Medicaid, QHP, and CHP by
completing member s annual recertification application including addi
on additional eligible family members
* Refer all existing members up for recertification to on-site Retention
Assist members with selecting a Primary Care Physician (PCP) using the
Healthfirst provider directory on their BlackBerry device. Maintain
adequate Book of Business (BOB) at all times, while adhering to the BOB
policies and procedures. Complete enrollment activity through the NYSOH
marketplace.
* Meet new application goals and maintaining acceptable rejection levels
while adhering to regulatory and state compliance. Enrollment activities
include on-site coverage at hospitals, provider offices, City agencies,
community business partners and Community Based Organizations (CBO s)
* Conduct home visits and other appointments as needed to complete the
application and obtain all required documentation
* Review all applications prior to submitting to NYSPH marketplace.
Distribute a Conflict of Interest (COI) form for every enrollment
encounter. Raise any additional training needs to management
* Maintain an adequate supply of renewal materials required to complete the
recertification applications
* Maintain and carry Facilitated Enroller Reference Binder (FERB) and
Conflict of Interest (COI) forms at all times
* Successfully meet pre and post training and regulatory exams and audit
requirements.
* Attend quarterly refresher training and successfully meet testing
Complete Annual Corporate Compliance and Sexual Harassment Training
requirements and any required training from City Department of Health
(CDOH) or Human Resources Administration (HRA). Understand and implement
the Plan s policies and procedures for the facilitated enrollment and
renewal process
* Establish and maintain good working relationships with external business
partners such as hospital and provider organizations, City agencies,
small businesses and Community Based Organization personnel where
enrollment activities are conducted. Develop and strengthen relations in
order to generate new opportunities for Healthfirst including new sites
and event requisitions
* Participate in health-related activities / special events including
evening and weekend activity. Events include health fairs, parades,
holiday-themed events, trade show expos, hospital orientations, provider
sponsored events and health-related theme events
* Arrive at scheduled work site, team meetings, training sessions and
events in accordance to departmental policy
* Notify manager and Sales Audit Department when closing a site in
accordance to the Sales Operation policy. Participate in weekly, bi-
weekly and monthly staff meetings and trainings including one-on-one
meetings with management and Field Trainers (FT). Provide information to
management on opportunities at current or potential marketing sites.
Raise any issues / concerns to management relative to site coverage,
competition, training needs and process improvement
* Remain knowledgeable of competitor s products, marketing practices an
keep management informed of such products and practices
* Recommend process improvement and advise management of any proposed
recommendations that can make a workflow or process more efficient

Minimum_Qualifications
* High School Diploma or GED from an accredited institution
* Bilingual Hindi, Telugu, Tamil
* Previous telemarketing, customer service, field sales, insurance or any
other relevant sales experience
* Ability to work in indoor and outdoor environments during all four
seasons
* Ability to work flexible hours including evening and weekends as needed
* Must be willing to work in any of the (5) boroughs including Long Island
and Westchester. In some cases you might need a car

Preferred_Qualifications
* Knowledge of Medicaid, Child Health Plus, Medicare or any other
healthcare product line
* Daily access to a vehicle with valid proof of insurance
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered
for positions and are evaluated without regard to mental or physical
disability, race, color, religion, gender, national origin, age, genetic
information, military or veteran status, sexual orientation, marital status or
any other protected Federal, State/Province or Local status unrelated to the
performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar
law, and want a reasonable accommodation to assist with your job search or
application for employment, please contact us by sending an email to
*********************** or calling ************ . In your email please include
a description of the accommodation you are requesting and a description of the
position for which you are applying. Only reasonable accommodation requests
related to applying for a position within Healthfirst Management Services will
be reviewed at the e-mail address and phone number supplied. Thank you for
considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement


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