Hybrid Consumer Service Operations Representative III

Posted last month

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About the role

  • Responsible for the daily activities across multiple service functions area
  • Performs advanced administrative/operational/customer support duties that require independent initiative and judgment
  • May apply intermediate mathematical skills
  • 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
  • Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques
  • Works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge
  • Travel to a different clinic each day on rotation among Jupiter, Palm Beach Gardens, and West Palm Beach; occasional travel to Humana offices for training or meetings
  • Scheduled Weekly Hours: 40

Requirements

  • Must be able/willing to travel between the 3 different locations in Jupiter, Palm Beach Gardens, and West Palm Beach (zip codes ranging from 33401, 33417, 33458, and 33410)
  • You will travel to a different clinic each day
  • Minimum of 1 year of customer service experience in a healthcare setting
  • Proficient in Microsoft Office, Outlook, Word, and Excel
  • 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
  • While this is a remote position, occasional travel to Humana's offices for training or meetings may be required
  • Preferred: Undergraduate Degree
  • Preferred: Clerical support experience in a healthcare environment
  • Preferred: CNA or Medical Assistant experience
  • Preferred: Quality experience
  • Preferred: Medicare experience
  • Preferred: Familiarity with medical terminology and/or ICD-10 codes

Benefits

  • Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being
  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
  • many other opportunities

Job title

Consumer Service Operations Representative III

Job type

Experience level

Junior

Salary

$43,000 - $56,200 per year

Degree requirement

No Education Requirement

Location requirements

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