• Job Description

  Req#: R-321911

  Become a part of our caring community and help us put health first
  

  The Bilingual Consumer Service Operations Representative III represents the company by addressing incoming telephone, digital, or written inquiries. The Bilingual Consumer Service Operations Representative III performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

  THIS POSITION IS LOCATED IN THE MIAMI, FLORIDA AREA - YOU WILL BE TRAVELING TO 4-5 DIFFERENT LOCATIONS EACH DAY IN THE AREAS LISTED BELOW.

  The Bilingual Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment, and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions are typically focused on methods, tactics, and processes for completing administrative tasks/projects. This individual regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques. This individual works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

  .

  
  Use your skills to make an impact
  

  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 4-5 different locations in Cutler Bay, Miami, and Homestead (zip codes ranging from 33157, 33189, 33165, 33183, 33030). 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 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

  Additional Information

  • The four to five work locations will be a mix of the Cutler Bay, Miami, and Homestead
  • 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

  
  About us
  

  Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

  
  Equal Opportunity Employer

  It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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