Marketplace Facilitated Enroller

Top Job

Located in Utica, NY

Salary: $20.00 Per Hour

Seeking a Marketplace Facilitated Enroller 1 to fill a long-term temporary assignment. This position educates and assists with the enrollment and recertification process for On and Off Marketplace health insurance products. In addition, this role requires business development/outreach skills geared toward driving education and awareness targeting small businesses, community agencies, groups and events contributing to increased retention and growth in membership.

Essential Resource Responsibilities:

·         Establishes trusted relationships, educates on product portfolio and marketing efforts and value add health plan provides within assigned territory

·         Community influencers, local agencies/community events, health fairs, grass roots community-based organizations and efforts

·         Proactively reaches out to local businesses within assigned territory to educate and increase awareness of heath care offerings, state regulations and the Insurance Company’s/Universal brand

·         Participates in department business strategy sessions; provides input from customer’s point of view & competitive intelligence on the street

·         Customer Assistor - Collects/reviews family income and household information used to determine eligibility for above named product portfolio including Adjusted Premium Tax Credit (APTC) and Cost Sharing (CS) for individuals and families

·         Assists individuals and families with securing and providing required documentation to demonstrate age, residency, and income as is required by the Marketplace

·         Communicates health insurance program options, fundamentals of all the health insurance products, benefits, and associated costs based on analysis of the applicant’s situation

·         Improves customer retention through on-boarding best practices defined as part of the assistor process.

·         Acts as member advocate for the individual to the Marketplace.

·         Applies the rules and regulations of the marketplace to the individual situation and provides open communication on application process between the parties

·         Reads, interprets and applies the Marketplace Facilitated Enroller (MFE) Training Manual rules and regulations when dealing with current or potential members

·         Communicates application and eligibility requirements in more than one language

·         Calculates and compares financial information as is required in the enrollment process. Included in this requirement is the ability to recognize tax return information and 3 months financial statements for self-employed

·         Interprets a variety of complex instructions from the MFE Training Manual to assist applicants

·         Provides critical assessment and analysis which effects insurance enrollment for families and children

·         Presents all aspects of eligibility, enrollment and available products to community audiences

·         Meets with applicants in locations that have additional MFE resource backup

·         Attends annual NYSDOH regional fall enrollment events staying abreast of new information for upcoming annual enrollment

·         Backs up team members as appropriate: vacations, last minute appointment schedule changes involving customers, outreach events, etc..

Qualifications:

·         High School Diploma plus 1–2-year experience preferably in MFE, customer service, or sales role. Associate’s degree preferred

·         New York State MFE training and certification is required within 3 months of hire

·         Ability to work independently without close supervision; be detail oriented and have excellent organizational skills

·         Thorough knowledge of Child Health Plus, Essential Plan, Medicaid/Medicaid Managed Care and the Individual Market (Qualified Health Plans) products

·         Ability to evaluate member needs and research a situation to completion

·         Ability to identify and manage enrollment barriers encountered by the applicant and works with the applicant and the marketplace to resolve enrollment issues

·         Demonstrated ability to present to organizations within the community regarding rules and regulations of the health insurance mandate, the enrollment process and available products

·         Must keep abreast of developments relevant to the function by attendance at meetings, seminars, workshops, etc., and as necessary, independent study

·         Knowledge of MS office, (Word, Excel, Access), Lotus Notes (calendar, email), GoldSNAP client relationship management (CRM) tool and other technical applications as appropriate

·         Must display excellent communication skills and have good member and public contact capabilities

·         Ability to handle confidential information with discretion

·         Ability to utilize meeting best practices while facilitating weekly staff meeting on a rolling schedule amongst entire team

·         Demonstrated understanding of math basic including: adding, subtracting, multiplying, dividing, rounding, and using all units of measure

·         Demonstrates poise with non-verbal and verbal forms of communication with culturally diverse populations

·         Demonstrate sensitivity when obtaining required personal and confidential information including social security number, income, household composition, and immigrant status

·         Must have the ability to travel- Bi-Lingual communications preferred

 

Apply Now