Inside Sales Representative
Spaulding Rehabilitation
Site: Mass General Brigham Health Plan Holding Company, Inc.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
This role will set sales appointments, recruit attendance at group sales meetings, respond to benefit inquiries and complete enrollment applications, in a live sales queue, for Mass General Brigham Health Plan’s Medicare prospects.
Principal Duties and Responsibilities:
-Serves as the resolution point for our Medicare Advantage members.
-Maintains all inventories and aging at or ahead of service level standards.
-Meets or exceeds productivity and quality standards for team.
-Address prospect questions, including eligibility, benefit interpretation and cost sharing via inbound and outbound calls, walk-in contact and written correspondence/email.
-Assure understanding level of each prospect/enrollee by providing clear, complete and accurate information regarding assigned product benefits, policies and procedures.
-Qualify each prospect according to departmental and federal guidelines.
-Meet accessibility and quality goals, such as average speed of answer and abandonment rate. Document complete and accurate prospect records and process all appointments, registrations and requests for information in CRM.
-Meet individual and team membership goals.
-Follow company and federal sales and marketing guidelines in all interactions with prospects.
-Research issues delegated to them from other departments within Mass General Brigham Health Plan as well as vendors
-Resolves complex benefits, claims and eligibility issues
-Identifies prospective member issues/concerns rapidly and precisely
-Research required information using available resources and triage when necessary
-Handles and resolves prospective member inquiries and complaints.
-Initiates follow up prospective member calls
-Completes call logs to record prospective member interactions and -transactions, recording details of inquiries, complaints, and comments, as well as actions taken
-Refers prospective member grievances and appeals to designated departments for further investigation
-Responsible for navigating multiple systems in order to resolve prospective member issues
-Receives and responds via email to inquiries from members and providers.
-Research prospective member concerns and take accountability through resolution
-Escalate prospective member complaints and feedback to management as required
-Achieve and maintain departmental productivity
-Completes call logs to record prospective member interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken
-Responsible for navigating multiple systems in order to resolve prospective member issues
-Serves as a liaison between the Prospective Member Service and various departments and vendors within the organization.
-Provides feedback to leadership on trends
-Answers inbound ACD calls during periods of high call volume
-Returns after hours, Voicemail Messages
-Handles incoming post mail and faxes.
-Acts as the primary representative for Mass General Brigham Health Plan for our prospective member focusing on engagement.
-Anticipates and meets, or exceeds, internal and/or external prospective member expectations and requirements; establishes and maintains effective relationships with prospective member and gains their trust and respect.
-Maintain Prospective member Service Behavior Competencies: Communication, Flexibility/Adaptability/Willingness/Team Player/ Positive Attitude, Relationship Building/Caring, and Service Excellence/Accountability/Critical Thinking
-Hold self and others accountable to meet commitments.
-Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
-Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
-Other duties as assigned with or without accommodation.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
This role will set sales appointments, recruit attendance at group sales meetings, respond to benefit inquiries and complete enrollment applications, in a live sales queue, for Mass General Brigham Health Plan’s Medicare prospects.
Principal Duties and Responsibilities:
-Serves as the resolution point for our Medicare Advantage members.
-Maintains all inventories and aging at or ahead of service level standards.
-Meets or exceeds productivity and quality standards for team.
-Address prospect questions, including eligibility, benefit interpretation and cost sharing via inbound and outbound calls, walk-in contact and written correspondence/email.
-Assure understanding level of each prospect/enrollee by providing clear, complete and accurate information regarding assigned product benefits, policies and procedures.
-Qualify each prospect according to departmental and federal guidelines.
-Meet accessibility and quality goals, such as average speed of answer and abandonment rate. Document complete and accurate prospect records and process all appointments, registrations and requests for information in CRM.
-Meet individual and team membership goals.
-Follow company and federal sales and marketing guidelines in all interactions with prospects.
-Research issues delegated to them from other departments within Mass General Brigham Health Plan as well as vendors
-Resolves complex benefits, claims and eligibility issues
-Identifies prospective member issues/concerns rapidly and precisely
-Research required information using available resources and triage when necessary
-Handles and resolves prospective member inquiries and complaints.
-Initiates follow up prospective member calls
-Completes call logs to record prospective member interactions and -transactions, recording details of inquiries, complaints, and comments, as well as actions taken
-Refers prospective member grievances and appeals to designated departments for further investigation
-Responsible for navigating multiple systems in order to resolve prospective member issues
-Receives and responds via email to inquiries from members and providers.
-Research prospective member concerns and take accountability through resolution
-Escalate prospective member complaints and feedback to management as required
-Achieve and maintain departmental productivity
-Completes call logs to record prospective member interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken
-Responsible for navigating multiple systems in order to resolve prospective member issues
-Serves as a liaison between the Prospective Member Service and various departments and vendors within the organization.
-Provides feedback to leadership on trends
-Answers inbound ACD calls during periods of high call volume
-Returns after hours, Voicemail Messages
-Handles incoming post mail and faxes.
-Acts as the primary representative for Mass General Brigham Health Plan for our prospective member focusing on engagement.
-Anticipates and meets, or exceeds, internal and/or external prospective member expectations and requirements; establishes and maintains effective relationships with prospective member and gains their trust and respect.
-Maintain Prospective member Service Behavior Competencies: Communication, Flexibility/Adaptability/Willingness/Team Player/ Positive Attitude, Relationship Building/Caring, and Service Excellence/Accountability/Critical Thinking
-Hold self and others accountable to meet commitments.
-Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
-Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
-Other duties as assigned with or without accommodation.
Qualifications
Required:
High School diploma or GED required;Health Producers LicenseAHIP certification (must obtain within 3 months of employment)4+ years in a sales or service environmentKnowledge of the health insurance industryAbility to work well under pressure and in a rapidly changing environmentPreferred:
Associates Degree or Bachelor’s DegreeHigh school and college level courses in computers, English, or business helpfulBilingual (Spanish) or other2+ years in an HMO/Health Care Industry settingExperience in Medicare Advantage and Medicare productsKnowledge of call center telephony and technologyProficiency with MS Office suiteUnderstanding of Protected Health Information (PHI) and the necessity to maintain confidentiality of this information
Additional Job Details (if applicable)
Working Conditions:
This role is mostly remote with roughly 2-3 meetings at the office is Assmbly Row, Somerville every yearThis is a Monday through Friday role with typical hours between 8 AM and 5 PM . During April through September, you will also need to work 11:30 AM-8 PM for 1-2 days/week
Remote Type
Hybrid
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
EEO Statement:
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Confirmar seu email: Enviar Email
Todos os Empregos de Spaulding Rehabilitation