Marketplace Enrollment Specialist

Summary of Position

• Responsible for making outbound calls to previous/current QHP, EP, Medicaid & Child Health Plus membership due to special projects, and renewal on a telephonic approach.

Principal Accountabilities

• Receive inbound calls directly from members/prospects or transfers from member services.
  
• Educate and respond to inquiries from members about plan benefits, enrollment, and renewal options.
  
• 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. Assist individuals by completing the appropriate forms and/or renewal applications for NYSOH or LDSS (via phone or direct basis).
  
• Function as a liaison between all EmblemHealth departments to help identify and capture prospect's issue resolution or concerns.
  
• Work with Neighborhood Care and HUB (member services) teams to maintain and improve EmblemHealth's image as a High Quality and Affordable health plan in the community.
  
• Maintain appointments, develop community marketing sites, establish relationships with community-based organizations, participate in healthrelated activities/special events including in person evening and weekend activities, create self-generated leads, and provide services to onsite walk-ins. Obtain feedback from referral sources and prospective enrollees.
  
• Assist QHP, EP, Medicaid & Child Health Plus members with billing inquiries, enrollment inquiries and PCP assignments.
  
• Utilize automated tools such as Avaya, Facets, Salesforce, Sales Cloud, Service Cloud & ePACES to perform daily duties and conduct telephonic outreach when necessary.
  
• Develop and maintain appropriate understanding of the health care products related to job functions.
  
• Regular attendance is an essential function of the job.
  
• Performs other duties as assigned or required.