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.
Qualifications Education, Training, Licenses, Certifications
Relevant Work Experience, Knowledge, Skills, and Abilities
- 2 years of relevant work experience required
- Driver's License and automobile with appropriate coverage is required for territories - Long Island, etc. (Optional)
- Travel in the New York metropolitan area required
- Must be able to work nights and weekends as required
- Bi-lingual English/Spanish, English/Chinese, English/Hindi/Urdu/Punjaby/Bengali, English/Russian
- Excellent interpersonal and presentation skills and the ability to work independently
- Excellent organizational and communication skills, both verbal and written
- Ability to develop strong relationships and influences in the community
- Ability to input and update data in database system
- Works independently and produces Self-Generated leads
- Ability to multi-task
- Successful completion of annual product training and testing to maintain certification
Additional Information
- Requisition ID: 1000003196
- Hiring Range: $47,691-$107,022
|
EmblemHealth
Jun 08, 2026