Otolaryngologist

Health Insurance Enrollment SpecialistThis position educates and assists with the enrollment and recertification process for On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market; Qualified Health Plan (QHP). 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 / Accountabilities:Outreach All Levels: 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 effortsProactively reaches out to local businesses within assigned territory to educate and increase awareness of heath care offerings, state regulations and the Excellus/Univera brandParticipates in department business strategy sessions; provides input from customers point of view & competitive intelligence on the streetCustomer 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 familiesAssists individuals and families with securing and providing required documentation to demonstrate age, residency, and income as is required by the MarketplaceCommunicates health insurance program options, fundamentals of all the health insurance products, benefits, and associated costs based on analysis of the applicants situationImproves 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 partiesReads, interprets and applies the Marketplace Facilitated Enroller (MFE) Training Manual rules and regulations when dealing with current or potential membersCommunicates application and eligibility requirements in more than one languageCalculates 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-employedInterprets a variety of complex instructions from the MFE Training Manual to assist applicantsProvides critical assessment and analysis which effects insurance enrollment for families and childrenPresents all aspects of eligibility, enrollment and available products to community audiencesMeets with applicants in locations that have additional MFE resource backupAttends annual NYSDOH regional fall enrollment events; staying abreast of new information for upcoming annual enrollmentBacks up team members as appropriate: vacations, last minute appointment schedule changes involving customers, outreach events, etcMinimum Resource Qualifications:All LevelsHigh School Diploma plus 1-2 year experience preferably in MFE, customer service, or sales role. Associates Degree preferredNew York State MFE training and certification is required within 3 months of hireAbility to work independently without close supervision; be detail oriented and have excellent organizational skillsThorough knowledge of Child Health Plus, Essential Plan, Medicaid/Medicaid Managed Care and the Individual Market (Qualified Health Plans) productsAbility to evaluate member needs and research a situation to completionAbility to identify and manage enrollment barriers encountered by the applicant and works with the applicant and the marketplace to resolve enrollment issuesDemonstrated ability to present to organizations within the community regarding rules and regulations of the health insurance mandate, the enrollment process and available productsMust keep abreast of developments relevant to the function by attendance at meetings, seminars, workshops, etc., and as necessary, independent studyKnowledge of MS office, (Word, Excel, Access), Lotus Notes (calendar, email), GoldSNAP client relationship management (CRM) tool and other technical applications as appropriateMust display excellent communication skills and have good member and public contact capabilitiesAbility to handle confidential information with discretionAbility to utilize meeting best practices while facilitating weekly staff meeting on a rolling schedule amongst entire teamAbility to promote safety and good housekeeping for employees within the work areaDemonstrated understanding of math basic including: adding, subtracting, multiplying, dividing, rounding, and using all units of measureDemonstrates poise with non-verbal and verbal forms of communication with culturally diverse populationsDemonstrates sensitivity when obtaining required personal and confidential information including social security number, income, household composition, and immigrant statusMust have the ability to travelBi-Lingual communications preferredPhysical Requirements:In support of the Americans with Disabilities Act, this resource requirements document lists only those responsibilities and qualifications deemed essential to the positionEqual Opportunity Employer:Excellus Client Client is an Equal Opportunity Employer. As such, requires all suppliers of temporary staffing resources to affirm the rights of every person to participate in all aspects of employment without regard to race, color, sex/gender, age, disability, religion, creed, citizenship status, national origin, veteran status, military status, marital status, familial status, domestic violence victim status, sexual orientation, gender identity, predisposing genetic characteristic, genetic information, or any other status protected under the law