Job Details

Bilingual English/Spanish Consumer Service Operations Representative 3- Broward County FL

Company name
Humana Inc.

Location
Fort Lauderdale, FL, United States

Employment Type
Full-Time

Industry
Bilingual, Healthcare

Posted on
Oct 21, 2021

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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

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