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Description
The Bilingual Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Bilingual Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.
Responsibilities
THIS POSITION IS LOCATED IN THE WEST PALM BEACH, FLORIDA AREA – YOU WILL BE TRAVELING TO A DIFFERENT LOCATION EACH DAY IN THE AREAS LISTED BELOW.
The Bilingual Consumer Service Operations Representative 3 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Required Qualifications
* Bilingual English/Spanish: ability to read, write, speak fluently without limitations or assistance
* Minimum of 1 year of customer service experience in a healthcare setting
* Proficient in Microsoft Office Outlook and Word
* Must be able to travel between the 4 different centers Monday-Friday in Delray Beach and Lantana. You will travel to a different clinic each day.
* Excellent verbal, listening and written communication skills
* Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
* Associate’s or Bachelor’s Degree
* Previous healthcare experience
* Clerical support background in a healthcare environment
* Familiarity with medical terminology and/or ICD-10 codes
* CNA or Medical Assistant background
* Quality background
* Medicare experience
Covid-19 Vaccine Policy
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field. Every associate and contractor who work inside a Humana facility or in the field, regardless of vaccination status, must complete a daily health screening questionnaire.
Additional Information
* The four work locations will be in Delray Beach and Lantana
* Mileage reimbursement is available for traveling purposes (up to company discretion and policy)
* Relocation assistance is also available (up to company discretion/policy)
* Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
* In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 25m x 10m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process.
* As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Job Type: Full-time
Pay: $20.00 – $24.00 per hour
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee assistance program
* Employee discount
* Health insurance
* Health savings account
* Life insurance
* Paid time off
* Paid training
* Parental leave
* Tuition reimbursement
* Vision insurance
Schedule:
* Monday to Friday
Experience:
* claims processing: 2 years (Required)
* enrollment and eligibility: 2 years (Required)
* call center operations: 2 years (Required)
* Investigates and settles claims: 2 years (Required)
* Microsoft Word: 3 years (Required)
* Microsoft Outlook: 3 years (Required)
* Microsoft Office: 2 years (Required)
Language:
* Speak, read, write in Spanish and English (Required)
Work Location: Hybrid remote in Delray Beach, FL 33444
