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Consumer Service Operations Professional

Humana

Become a part of our caring community

Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first?

During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are optimized.

Consumer Service Operations Internship provides transitioning service members that are eligible to participate in the DoW SkillBridge Internship, or military spouses that are eligible to participate in the Military Spouse Career Accelerator Fellowship, with an opportunity to train and work with Humana.

If you are interested in this position, you will be required to confirm eligibility to participate in the DoW SkillBridge or Military Spouse Career Accelerator Programs.

The Consumer Service Operations Professional Intern will utilize Humana’s Medicaid training and previously acquired skillsets to support Medicaid member mail processing. Primary responsibilities include receiving, sorting, and distributing incoming and outgoing correspondence related to Medicaid member services. The intern will ensure accurate and timely processing of enrollment forms, eligibility documentation, claims-related communications, and other member correspondence. Additional duties may include tracking mail status, maintaining confidentiality of member information, and collaborating with other teams to resolve mail processing issues and ensure compliance with Medicaid program requirements.

  • 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.

  • In this role you will be reviewing, and processing incoming member communications and routing appropriately.

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences and be a team player and have the ability to work independently.

Use your skills to make an impact

Required Qualifications

  • Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship

  • Minimum 1 year of customer service experience, including typing/data entry

  • Professional healthcare experience or education in a healthcare discipline

  • Excellent verbal, listening and written communication skills.

  • Proficient in Microsoft Office, Outlook and Word

  • Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems with the ability to work with multiple screens and databases with paying attention to detail with data entry.

Preferred Qualifications

  • CGX, Excel, and QuickBase

  • Associate's or Bachelor's Degree

  • Clerical support background in a healthcare environment

  • Familiarity with medical terminology

  • CNA or Medical Assistant background

  • Medicaid experience

Additional Information

The DOW SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period averaging 90 days.

The Military Spouse Career Accelerator Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 12 weeks.

  • Networking opportunities will be provided while participating in the Internship or Fellowship.

  • Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.

Workstyle: Remote Work at Home

Location: U.S.

Work Schedule: Must be willing to work weekdays 8:00 AM to 5:00 PM Eastern Time

Travel: None - May need to report to the office for meetings or trainings or as needed depending on location.

Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested,

  • Satellite, cellular and microwave connection can be used only if approved by leadership

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format As part of our hiring process, we will be using an exciting interview with technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. (Please be sure to check your spam or junk folders often to ensure communication isn’t missed) If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

SSN Alert Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from View email address on click.appcast.io with instructions on how to add the information into your official application on Humana’s secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

1

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Vacancy posted 1 day ago
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