Licensed Medicare Remote Sales Agent at PruittHealth
United States
<p style="font-family:Arial;text-align:center;"><span style="font-size:14px;">Seasonal Enrollment Agent - September - December </span></p><p style="font-family:Arial;text-align:center;"><span style="font-size:14px;">Remote Agent - Georgia</span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>JOB PURPOSE:</u></strong></span></span></p><p><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">The purpose of the </span></span><span style="font-size:14px;"><span style="mso-ansi-language:EN-US;mso-bidi-font-family:Aptos;mso-bidi-language:AR-SA;mso-fareast-font-family:Aptos;mso-fareast-language:EN-US;mso-fareast-theme-font:minor-latin;mso-ligatures:standardcontextual;">Licensed Medicare Telesales Agent</span></span><span style="font-family:Tenorite;font-size:12.0pt;"><span style="mso-ansi-language:EN-US;mso-bidi-font-family:Aptos;mso-bidi-language:AR-SA;mso-fareast-font-family:Aptos;mso-fareast-language:EN-US;mso-fareast-theme-font:minor-latin;mso-ligatures:standardcontextual;"> </span></span><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">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. </span></span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>KEY RESPONSIBILITIES:</u></strong></span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">1. Serve as a licensed insurance agent to explain Plan benefits and answer potential member resident/responsible party questions.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">2. Coordinate with sales leadership to effectively enroll residents into institutional special needs plans (ISNPs); and dual special needs plans (DSNPs)</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">3. Work effectively with sales administration management for as-needed enrollment admin support.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">4. Successfully utilize sales closing skills to drive enrollments, maintaining a strong sale close rate.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">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.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">6. Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">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.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">8. Offer to participate in facility events for marketing of the plan in accordance with CMS guidelines. </span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">9. Send monthly lists of upcoming enrollees to facility contacts, agency contacts prior to month end. </span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">10. Ensure that all interactions with the member are compliant with CMS regulations</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">11. Conduct monthly facility audit in accordance with monthly checklist provided.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">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.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">13. Maintain current license to sell life and health insurance and AHIP certification to maintain employment in this role. </span></span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>KNOWLEDGE, SKILLS, ABILITIES:</u></strong></span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Strong technological skills to connect with potential members/families interested in enrolling</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Ability to maintain health insurance licensure and Continuing Education Requirements set forth by licensing state.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Comfortable/patient in communicating via web-based video platforms.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Assertive self-starter who is able to influence others.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Strong written and verbal communication skills with abilities to deliver presentations in an impactful manner.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Proven ability to work independently and productively.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Strong computer skills and proficiency in Microsoft Office Suite products.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Willingness to travel to local meeting places as needed.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Substantial sales experience.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Knowledge of Medicare/Medicaid and/or nursing community dynamics.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Demonstrate compliance with CMS regulations regarding Medicare Advantage Plans and PruittHealth Code of Conduct.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Demonstrate exceptional interpersonal skills with ability to work independently as well as with a team.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Exceptional organizational skills: strong written and verbal communication and clear-thinking skills with the ability to synthesize complex issues into simple messages.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Willingness and ability to travel to facilities within your assigned region; have dependable transportation, a current driver’s license, a clean driving record, and proof of insurance.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Have suitable home workspace allowing for productive office environment.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Understands the PruittHealth Premier Plan benefits, PruittHealth Premier Plan policies, procedures and articulate them effectively to providers, potential members and key decisions makers.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• Complete annual Medicare Fraud, Waste and Abuse Training and Model of Care Training</span></span></p><br><br><p style="font-family:Arial;margin-bottom:11px;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>MINIMUM EDUCATION REQUIRED:</u></strong></span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">Bachelor’s degree required</span></span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>MINIMUM EXPERIENCE REQUIRED:</u></strong></span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">2 years health insurance sales experience preferred.</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">Good communication skills and organizational skills needed</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">Ability to professionally present plan benefits and financial information</span></span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:</u></strong></span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">Life & Health Insurance License</span></span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;"><strong><u>ADDITIONAL QUALIFICATIONS:</u></strong> (Preferred qualifications)</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">• AHIP Certification and Licensed to sell Life and Health insurance in required states to act as an enrollment agent if necessary. (prefer they have this upon hire)</span></span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><span style="line-height:normal;">Georgia residents preferred.</span></span></p><p style="font-family:Arial;"><span style="color:#004d43;font-family:Arial,Helvetica,sans-serif;font-size:14px;"><strong>Family Makes Us Stronger.</strong></span><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"> Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.</span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;">We are eager to connect with you! </span><span style="color:#004d43;font-family:Arial,Helvetica,sans-serif;font-size:14px;"><i><strong>Apply Now</strong></i></span><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"> to get started at PruittHealth!</span></p><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:14px;"><i>As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.</i></span></p><p class="MsoNormal"><strong><u>For Florida Job Postings Only:</u></strong></p><p class="MsoNormal"> </p><p class="MsoNormal">For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit <a href="https://info.flclearinghouse.com">https://info.flclearinghouse.com</a></p>
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