Membership And Retention Specialist

Compensation

: $83,085.00 - $169,220.00 /year *

Employment Type

: Full-Time

Industry

: Financial Services - Insurance



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Why MediGold?

MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.

We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.

What we offer:

  • Competitive compensation and benefits packages including medical, dental, and vision coverage
  • Retirement savings account with employer match starting on day one
  • Generous paid time off programs
  • Employee recognition incentive program
  • Tuition/professional development reimbursement
  • Relocation assistance (geographic restrictions apply)
  • Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
  • Why Columbus?

    The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com!

    About the job:

    In accordance with the Mission and Guiding Behaviors; the Membership and Retention Specialist responds to complex member inquiries, resolving issues and complaints, and engaging in activities to promote member enrollment. Responsible for enrollment activities as required for walk-in clients

    What you'll do:

  • Complies with internal policies, Center for Medicare and Medicaid Services (CMS), Ohio Department of Insurance (ODI), NCQA and all applicable Federal regulations.
  • Conducts telephonic sales activities within the scope of licensure and regulatory requirements while consistently and accurately documenting such sales activities/inquiries within the designated software
  • Serves as front line Sales Agent/Insurance Adviser for all walk-in office prospective members
  • Accurately and timely completes mandatory compliance forms, such as scope of appointment, required by sales agents when discussing products with Medicare beneficiaries to ensure CMS regulatory requirements are met
  • Proactively outreaches to members deploying retention efforts. The ability to initiate recovery actions in difficult situations required
  • Acts as liaison for members, prospects and plan representatives. Demonstrates positive role modeling and promotes brand awareness
  • What we're looking for:

  • Education: Minimum of high school education. Bachelor's Degree preferred or an equivalent combination of education and experience.
  • Licensure / Certification: Active State of Ohio Insurance License (Life and Health) or obtained within 90 days of hire.
  • Experience: Two (2) years of customer service experience along with knowledge of governmental agencies and regulations, especially Medicare and the Centers for Medicare and Medicaid Services (CMS) desired.
  • Effective Communication Skills; sales, retention and strategic thinking.
  • Demonstrated knowledge and effective organizing multi-tasks, in a high volume, fastpaced team environment with the ability to incent sales of insurance products.
  • Knowledge of managed care benefit plans, products and industry competition.
  • Medical terminology and medical claims processing a plus

  • Associated topics: broker, commission, guest, healthcare, insurance sales, life insurance sales, phone, retail, sales agent, sales associate * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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