Member Support Representative

Centene Corporation•Sunrise, FL

4d•$19 - $33•Hybrid

About The Position

Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Candidate must reside in the greater Fort Lauderdale area.
High School Diploma , GED or equivalent required
1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required
State Accident and Health Insurance Agent License within 60 Days required
Current state driver's license Upon Hire required

Nice To Haves

Bilingual; Spanish is highly preferred.
Experience with Medicare / Medicaid sales and community engagement is highly preferred.
Bilingual English/Spanish/Cantonese or Mandarin preferred: Specific language skills by some plans may be required

Responsibilities

Understands the covered benefits, non-covered benefits, exclusions and exemptions
Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product
Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership
Researches, analyzes, and documents member inquiries regarding program eligibility
Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments
Accurately documents all interactions in Salesforce and other relevant systems
Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP
Attends and participates in sales meetings, training programs, conventions, and special events
Performs other duties as assigned
Complies with all policies and standards