The Outreach Retention Specialist is responsible for making outbound calls to existing PHSP, Medicare and Integrated Product membership. Includes educating and assisting current members over the phone with their renewal application and/or scheduling an appointment for a field staff to complete. There is no new enrollment activity for this position.
Duties & Responsibilities
- Responsible for making outbound calls to existing Medicaid, QHP, EP and CHP membership up for renewal to assist over the phone and/or schedule appointments for the field RS staff to complete a renewal application. Educate members on all aspects of the plan including answering questions regarding plan’s features and benefits.
- Maintain personal NYSOH Marketplace dashboard.
- Responsible for assisting Medicare and Integrated Product members through outbound campaigns to retain their Medicaid coverage and/or obtain Medicare Part A/B coverage.
- Successfully meet pre and post training exams and audit requirements. Attend annual GTM training and successfully meet testing requirements. Complete Annual Corporate Training requirements. Understand and implement the Plan’s policies and procedures for the renewal process.
- Establish and maintain good working relationships with internal business partners such as Member Services, Enrollment, Medical Management and our external Marketplace Retention Specialist, Marketplace Facilitated Enrollers and Medicare Representatives.
- Arrive at scheduled work site, team meetings and training sessions in a timely manner.
- Participate in weekly, bi-weekly and monthly staff meetings and trainings including one-on-one meetings with management. Raise any issues / concerns to Management relative to retention opportunities, competition, training needs and process improvement.
- Additional duties as assigned.
Healthfirst is New York’s largest not-for-profit health insurer offering it’s nearly 1.7 million members access to high-quality, affordable healthcare. As part of the community for nearly 30 years, Healthfirst’s unique advantage is rooted in its belief that good health doesn’t start in a doctor’s office. The company’s mission is to put its members first by working closely with care providers and community leaders to address broader issues that can impact health and well-being. This value-based care model is the foundation of the company’s sustained growth in one of the most dynamic markets in the country. So, if you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people’s lives, then Healthfirst is for you.