Sales Representative II - Staten ; Bilingual French and Spanish

Overview

Metro Plus Health  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.

The Sales Representative II is responsible for educating and assisting qualified individuals with purchasing affordable health insurance coverage and/or obtaining an eligibility determination for coverage in Qualified Health Plans (QHPs) and insurance affordability programs such as Medicaid and Child Health Plus (CHP) through the NY State of Health Marketplace. The role identifies and educates prospective members lacking insurance or looking to change coverage, as well as assisting existing members with recertification and benefits education.

All duties are performed in accordance with the Affordable Care Act (ACA) and all applicable rules and regulations.

• 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 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.

• Secure and safeguard confidential information to prevent Protected Health Information (PHI) from being received by unauthorized personnel to ensure compliance with privacy and security standards.
• Provide information in a manner that is culturally and linguistically appropriate to the needs of the population served by the Marketplace.
• Participate in all trainings, updates, webinars and other forums necessary to carry out roles and responsibilities.
• Meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.
• Keep abreast of all industry and regulatory updates pertaining 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.

• Maintain a daily tracking tool that records 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 Marketplace functionalities to effectively manage individual accounts.
• Conduct a daily review of the Metro Plus Health  "Market plus" 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 Metro Plus Health  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.

• High School Diploma or GED.
• Minimum of three (3) years of sales experience.
• Prior public speaking experience.

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

• Integrity and trust.
• Customer focus.
• Functional/technical skills.
• Written/oral communication.

I understand that this job description is only a summary.