Licensed Medicare Remote Sales Agent

Seasonal Enrollment Agent - September - December 

Remote Agent - Georgia

JOB PURPOSE:

The purpose of the  Licensed Medicare Telesales Agent role for PruittHealth Premier to serve as a licensed insurance agent to explain Plan Medicare benefits and answer the questions of potential members or their responsible party.   Their role is to identify potential membership leads and help ensure timely outreach to assist with enrollment to the health plan.    In addition, they provide ongoing marketing support to our in-network skilled nursing facility staff, conduct facility and community marketing events, and provider education both in our skilled nursing facilities and in our communities to support both our I-SNP and D-SNP as needed. 

KEY RESPONSIBILITIES:

1.    Serve as a licensed insurance agent to explain Plan benefits and answer potential member resident/responsible party questions.

2.    Coordinate with sales leadership to effectively enroll residents into institutional special needs plans (ISNPs); and dual special needs plans (DSNPs)

3.    Work effectively with sales administration management for as-needed enrollment admin support.

4.    Successfully utilize sales closing skills to drive enrollments, maintaining a strong sale close rate.

5.    Properly follow established sales policies and standard operating procedures, effectively utilizing and updating company systems and databases, including systems for entering referrals and enrollments.

6.    Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations.

7.    Meet with potential members/responsible party to ensure that any questions are answered, existing benefits are compared to plan benefits and to act as a point of contact if the potential member or their family needs assistance during the enrollment process.

8.    Offer to participate in facility events for marketing of the plan in accordance with CMS guidelines. 

9.    Send monthly lists of upcoming enrollees to facility contacts, agency contacts prior to month end. 

10.  Ensure that all interactions with the member are compliant with CMS regulations

11.  Conduct monthly facility audit in accordance with monthly checklist provided.

12.  The Enrollment Agent will be responsible for a geographic territory of participating nursing facilities and counties for D-SNP marketing and enrollment within that same territory if applicable.

13.  Maintain current license to sell life and health insurance and AHIP certification to maintain employment in this role. 

KNOWLEDGE, SKILLS, ABILITIES:

•   Strong technological skills to connect with potential members/families interested in enrolling

•   Ability to maintain health insurance licensure and Continuing Education Requirements set forth by licensing state.

•   Comfortable/patient in communicating via web-based video platforms.

•   Assertive self-starter who is able to influence others.

•   Strong written and verbal communication skills with abilities to deliver presentations in an impactful manner.

•   Proven ability to work independently and productively.

•   Strong computer skills and proficiency in Microsoft Office Suite products.

•   Willingness to travel to local me