Member Support Representative

Candidate must be comfortable traveling to The Bronx for work.

Bilingual; Spanish is highly preferred.

Experience with Medicare / Medicaid sales and community engagement is highly preferred.

Understands the covered benefits, non-covered benefits, exclusions and exemptions
Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product
Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership
Researches, analyzes, and documents member inquiries regarding program eligibility
Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments
Accurately documents all interactions in Salesforce and other relevant systems
Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP
Attends and participates in sales meetings, training programs, conventions, and special events
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: High School Diploma , GED or equivalent required
1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required

Bilingual English/Spanish/Cantonese or Mandarin preferred: Specific language skills by some plans may be required

State Accident and Health Insurance Agent License within 60 Days required: Current state driver's license Upon Hire required