Medicare Sales Rep

Empower. Unite. Care.

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 will come to work proud of what you do every day.

Metro Plus
Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, Metro Plus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, Metro Plus
Health
's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, Metro Plus
Health has been committed to building strong relationships with its members and providers.

The Medicare Sales Representative II provides greater access to health insurance, by providing education and assistance to Medicare individuals. The Medicare Sales Representative II is involved with health education through the distribution of health ed. materials and arranging for health screenings. In addition, the Medicare Sales Representative II provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.

9:00 A.M – 5:00 P.M

• Identify prospective enrollees and determine eligibility for participation in Metro Plus Health ’s Medicare product.
• Understand and apply all policies and procedure pertaining to:
  • Disclosures and provisions of the Metro Plus Health  Medicare product.
  • Enrollment and disenrollment.
• Conduct home visits, and personalized appointments as needed to complete the enrollment process.
• Market Metro Plus Health  Medicare line of business on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated.
• Understand the covered benefits, non-covered benefits, exclusions, and exemptions.
• Educating enrollees on all aspects of the Plan, as well as answering questions regarding Plan’s features and benefits.
• Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation.
• Complete applications and field reports such as Presumptive Eligibility reports, and personnel forms (time sheets, expense reports, etc.) in a timely and accurate manner.
• Work closely with the Outreach Representatives, Customer Service Representatives Eligibility Representatives and other Metro Plus Health  personnel to resolve member concerns regarding complaints and potential enrollments or disenrollments.
• Establish and maintain a positive working relationship with facility and site staff community and provider organizations, as well as City and State regulatory agencies.
• Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members.
• Conduct and participate in telemarketing/outreach efforts as required.
• Provide detailed reports of production and outreach activities.
• Develop a presence in the local community to help generate enrollments.
• Making presentations to large groups of seniors.
• Required to complete Annual Medicare Training.

• Must have a High School Diploma or GED, College Degree or coursework preferred.
• 3-5 years of Sales/Customer Relations experience required.
• Medicare Sales experience preferred.
• Public speaking experience.
• Excellent organizational, written and communication skills.
• Excellent verbal, and presentation skills are necessary.
• Excellent problem-solving skills.
• Highly motivated and goal directed.
• Must be able to work in a multi-ethnic, multi-cultural environment.
• Must be sensitive to chronic conditions and disabilities.
• Bi-Lingual and Multi-Lingual a plus.
• Must be self-confident, independent thinker and maintain a professional…