Humana Medicare Membership Retention Specialist

Profile

Description

Ready for a great job? The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service function areas, including mobile touch point locations in the various markets. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment.

Responsibilities

The Consumer Service Representative 3 will focus on membership retention of current and new members by providing local proactive 'high touch' outreach and enhanced member experience. This role includes functions relative to benefits, enrollment and eligibility, member support, claims interpretation and processing, agent support, onboarding, local agency outreach, billing issues, payments, provider questions and call center operations. The Representative will regularly exercise discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques.

Required Qualifications


1 - 3 years of customer service experience, including typing/data entry
Previous inbound and/or outbound call center or related customer service experience
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
2 years of leadership, escalated calls, team lead or similar experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Bilingual-Spanish
Able to commute to Brooklyn office


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
Live within 50 miles of Brooklyn


Additional Information

Some days work in Brooklyn office location, other days work at home

Monday - Friday 8:30 AM - 5:00 PM (EST)

Scheduled Weekly Hours

40

Company info

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