MetroPlus Is Hiring A Sales Representative Ii Bilingual Mandarin Or Cantonese

About Metro Plus 🏥

Health is committed to uniting communities through care, believing that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, join us and be proud of what you do every day.

Job Responsibilities

Educational & Enrollment Process 🎓

• Educate and assist qualified individuals with applying for coverage via the NY State of Health Marketplace, including Qualified Health Plans (QHPs) and programs like Medicaid and Child Health Plus.
• Support consumers in contacting the NY State of Health Customer Service for enrollment help and verification documentation.
• Conduct outreach activities to raise awareness of available QHPs and insurance options.
• Explain eligibility for public programs, including details of the federal health insurance premium tax credits and cost-sharing reductions, along with potential risk factors.
• Describe features and benefits of health insurance, including cost-sharing mechanisms such as deductibles, co-pays, and co-insurance.
• Educate consumers on the different metal tiers within the Marketplace and how benefits vary with income levels.
• Participate in ACA forums and workshops and conduct presentations upon request.
• Assist with submitting required documents via scan, fax, or mail.
• Support existing members with recertification and premium payments when applicable.

Regulatory & Compliance ✅

• Safeguard confidential information, ensuring compliance with privacy and security standards concerning Protected Health Information (PHI).
• Offer culturally and linguistically appropriate information tailored to the populations served.
• Participate in training sessions, updates, webinars, and forums essential for role effectiveness.
• Complete annual Marketplace Facilitated Enroller (MFE) recertification requirements.
• Stay informed of industry and regulatory updates related to the ACA and Marketplace regulations.
• Maintain discretion with sensitive business files, reports, and conversations, respecting applicable statutes and regulations.

Tactical Responsibilities 🎯

• Maintain a detailed daily activity tracking tool.
• Monitor applications in your dashboard ensuring timely and accurate follow-up.
• Review leads daily and follow up on potential consumer inquiries.
• Keep a stock of educational materials and collateral for outreach.
• Manage individual accounts within the Marketplace functionalities effectively.
• Follow-up on new enrollment leads via the Metro Plus Health "Market plus" program and record dispositions accurately.
• Enter applicant demographic and enrollment data into the Metro Plus Health portal during initial encounters.
• Comply with conflict-of-interest standards and other regulatory requirements.
• Perform other duties as required to fulfill role expectations.
• Work evenings and weekends as necessary.

Required Education & Experience 🎓

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

Licensure & Certification 📜

• Complete and pass the NY State of Health approved training program.
• Obtain and maintain certification as a Marketplace Facilitated Enroller (MFE), including annual recertifications.

Professional Competencies 🌟

• Integrity and Trust
• Customer Focus
• Functional and Technical Skills
• Exceptional Written and Oral Communication