Customer Service Representative I

MetroPlus 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, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlus Health has been committed to building strong relationships with its members and providers.

Duties & Responsibilities

Purpose of Position :


Under supervision, identifies qualified participants and educates them as to the benefits of selecting MetroPlus as a managed care provider. Achieves predetermined monthly enrollments based on regularly updated goals and objectives. May provide training of and/or supervision to subordinate staff, and maintains positive public relations presence within the community.

Examples of Typical Tasks :
1. Implement methods, activities and action plans necessary to achieve daily, weekly and monthly objectives.
2. Presents clear and accurate information regarding health plan to eligible recipients and community-at-large.
3. Performs group and individual presentations for purpose of educating and enrolling qualified participants in a variety of arenas including but not limited to income support centers, provider sites, churches, WIC programs and shelters.
4. Presents MetroPlus Health Plan information to HHC employees at annually designated open enrollment periods.
5. Performs telemarketing activities as appropriate for purposes of enrollment and follow-up activity.
6. Maintains accurate documentation related to enrollment and field activities.
7. Participates in regularly scheduled sales/marketing meetings as required.
8. Performs other related tasks as directed.

Minimum Qualifications
1. Satisfactory completion of three months of training and orientation administered by MHP personnel; or,
2. High School graduation or evidence of having satisfactorily passed a High School
Equivalency Program; and,
3. Demonstrated skills in written and or oral communication; and,
4. Minimum one year of experience in direct consumer contact, sales and/or social services; or,
5. A satisfactory equivalent combination of education, training and experience.
6. Knowledge of a second language may be required.

Special Notes:
1. For placement in Assignment Level II, candidates must possess one (1) year of experience in Assignment Level I or an additional year of related full-time experience.
2. For placement in Assignment Level III, candidates must possess one (1) year of experience in Assignment Level II or an additional two (2) years of related full-time experience, with at least one (1) of those years in a supervisory capacity.

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs