Centene Corporation Medicare Retention Representative - Bilingual in Rego Park, New York
Position Purpose: Interacts with prospective members through education and assists with any enrollment needs. Represents the Plan through telephonic outreach to recertify members.
Establish contact; assess an individual's healthcare needs and concerns; establish eligibility for Medicare; provide overview of organizational mission; effectively and clearly present benefits of Medicare products in accordance with all governmental regulations. Answer product and/or service questions; suggest features and benefits about Medicare products and services to attract potential customers.
Follow up on leads from various prospective members
Complete all necessary paperwork, documentation, and follow-up in accordance with Center for Medicaid & Medicare Services (CMS) guidelines. Screen applicant eligibility; review and validate documentation necessary for enrollment into Medicare; provide client education; provide timely follow-up to obtain missing or additional information to complete the application; input necessary information into applicable computer systems in a timely fashion.
Respond to customer's calls within designated time frames and perform troubleshooting procedures to determine the nature of the inquiry or issue to the satisfaction of the customer; clarify the customer's inquiry; determine the cause of the problem; select and explain the best solution to solve the concern and expedite correction or adjustment as needed; follow up with customers to ensure resolution.
Follow organization standards to maintain excellent quality service.
Complete all necessary paperwork and documentation; provide education to the caller for more effective troubleshooting in the future.
Occasionally attend Community events, conduct home-based visits, and work in the community offices as needed.
AA/AS - Associates Degree or equivalent required. BA/BS - Bachelors Degree or equivalent preferred.
One to two years related sales experience required.
One to three years experience in a managed health care setting preferred.
Working knowledge of general marketing strategies; effectively establishing relationships to find new opportunities to educate and enroll individuals into State Health Plans.
Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.
Proficiency in one or more languages other than English.
Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.
Customer Service: Skilled to communicate with all levels of management, internal and external customers. Ability to work well as a member of a team or alone.
Driver’s License may be required by some plans. Specific language skills may be required by some plans.
License/Certification: NYS Life, Accident & Health Insurance License as an agent required.
TITLE: Medicare Retention Representative - Bilingual
LOCATION: Rego Park, New York
COMPANY: Marketing & Communications
POSITION TYPE: Hourly
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