Note: The job is a remote job and is open to candidates in USA. PruittHealth is a healthcare organization seeking a Licensed Medicare Enrollment Agent to support Medicare plan enrollment in Georgia. The role explains plan benefits, answers prospective member questions, identifies enrollment leads, conducts outreach and marketing events, and provides education while maintaining compliance with CMS regulations.
Responsibilities
- Serve as a licensed insurance agent to explain Plan benefits and answer potential member resident/responsible party questions
- Coordinate with sales leadership to effectively enroll residents into institutional special needs plans (ISNPs); and dual special needs plans (DSNPs)
- Work effectively with sales administration management for as-needed enrollment admin support
- Successfully utilize sales closing skills to drive enrollments, maintaining a strong sale close rate
- Properly follow established sales policies and standard operating procedures, effectively utilizing and updating company systems and databases, including systems for entering referrals and enrollments
- Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations
- 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
- Offer to participate in facility events for marketing of the plan in accordance with CMS guidelines
- Send monthly lists of upcoming enrollees to facility contacts, agency contacts prior to month end
- Ensure that all interactions with the member are compliant with CMS regulations
- Conduct monthly facility audit in accordance with monthly checklist provided
- 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
- Maintain current license to sell life and health insurance and AHIP certification to maintain employment in this role
Skills
- 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 meeting places as needed
- Substantial sales experience
- Knowledge of Medicare/Medicaid and/or nursing community dynamics
- Demonstrate compliance with CMS regulations regarding Medicare Advantage Plans and PruittHealth Code of Conduct
- Demonstrate exceptional interpersonal skills with ability to work independently as well as with a team
- Exceptional organizational skills: strong written and verbal communication and clear-thinking skills with the ability to synthesize complex issues into simple messages
- 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
- Have suitable home workspace allowing for productive office environment
- Understands the PruittHealth Premier Plan benefits, PruittHealth Premier Plan policies, procedures and articulate them effectively to providers, potential members and key decisions makers
- Complete annual Medicare Fraud, Waste and Abuse Training and Model of Care Training
- Bachelor's degree required
- Good communication skills and organizational skills needed
- Ability to professionally present plan benefits and financial information
- Life & Health Insurance License
- 2 years health insurance sales experience preferred
- • 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)
- Georgia residents preferred
Benefits
- Remote Agent - Georgia
Company Overview