Company name
Humana Inc.
Location
Fort Lauderdale, FL, United States
Employment Type
Full-Time
Industry
Bilingual, Healthcare
Posted on
Oct 21, 2021
Profile
Description
The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The 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 MIRAMAR/FORT LAUDERDALE, FL AREA - YOU WILL BE TRAVELING TO 5 DIFFERENT LOCATIONS 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. This position requires the associate to travel to five provider centers located in the Fort Lauderdale, FL area. The successful candidate will require a bilingual skillset - (i.e. English and Spanish).
Required Qualifications
1 years of customer service experience, including typing/data entry
Previous inbound and/or outbound customer service experience in a healthcare setting
Bilingual English/Spanish: ability to read, write, speak fluently without limitations or assistance
Must be able to travel between the 5 different locations in Plantation, Margate, Coral Springs, Tamarac, and Coconut Creek. 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
Proficient in Microsoft Office Outlook and Word
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
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
2 years of leadership, escalated calls, team lead or similar experience
Additional Information
The five work locations are in Plantation, Margate, Coral Springs, Tamarac, and Coconut Creek
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.
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com