Sales Representative II - Brooklyn (Bilingual Arabic)

Sales Representative II - Brooklyn (Bilingual Arabic)

MetroPlusHealth

Base pay range: $60,000.00/yr - $60,000.00/yr

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.

Responsibilities

• Educate and assist qualified individuals with applying for coverage through the NY State of Health Marketplace in a Qualified Health Plan (QHP) and insurance affordability programs such as Medicaid and Child Health Plus.
• Assist consumers/applicants with calling the NY State of Health Customer Services Department for assistance with enrolling and/or providing verification documentation.
• Conduct public education activities for consumers to raise awareness of available QHPs within the Marketplace.
• Explain potential eligibility for public/governmental programs, how the federal health insurance premium tax credit and cost-sharing reductions work, and outline potential risk factor, if any, to consumers.
• Describe the features and benefits of health insurance coverage, including cost-sharing mechanisms like deductibles, co-pays, co-insurance and how these work and/or affect the consumer.
• Describe the different metal tiers within the Marketplace and how the benefits may change at different tiers based on the consumer's income.
• Conduct presentations and participate in ACA forums and workshops upon request.
• Assist consumers with submitting documents and information as required by the Marketplace via scan, fax, or mail.
• Assist existing members with recertification, when applicable.
• Assist consumers with the submission of premium payments when required.
• Maintain a daily tracking tool that entails detailed rep activity.
• Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.
• Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.
• Maintain a consistent supply of various educational and product line collateral.
• Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.
• Conduct a daily review of the MetroPlusHealth 'Marketplus' lead management program to follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner.
• Data enter all applicant demographic, enrollment site and PCP selection data in the required 'Enrollment Program' within the MetroPlusHealth portal at the time of the initial enrollment encounter.
• Must be in compliance with all conflict-of-interest standards and regulations.
• All other tasks and responsibilities as may be required to satisfy the expectations of the role.
• Required to work evenings and weekends.

Regulatory & Compliance

• Securing and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.
• Provide information in a culturally and linguistically appropriate manner to the needs of the population being served by the Marketplace.
• Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.
• Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.
• Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.
• Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.

Required Education, Training & Professional Experience

• Must have a High School Diploma or GED.
• Minimum of three (3) years of Sales experience required.
• Prior Public Speaking experience.

Licensure and/or Certification Required

• Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification as an MFE.

Professional Competencies

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication

Seniority Level

Mid‑Senior level

Employment Type

Full‑time

Job Function

Sales and Business Development

Industry

Hospitals and Health Care

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