Bilingual Consumer Service Operations Representative 3

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Humana's Market Customer Service Organization is seeking a Bilingual Consumer Service Operations Representative 3 who is fluent in English and Spanish to join the Market Customer Service Team in Chicago, IL. In this role, you will provide onsite support for six Senior Medical Centers throughout Chicago located in Ashburn (Evergreen Park), Jeffrey Manor (South Chicago), Glenwood, Dolton, Oaklawn and Berwyn, Illinois.

Key Role Functions

• Provide face-to-face customer service at the Senior Medical Centers in Illinois
• Assist Humana members with concerns regarding medical billing, copayments, pharmacy and benefits as well as enrollment, eligibility and self-service options.
• Aid clinicians with gaps and care of patients
• CMS Stars support and patient experience initiatives
• Investigate and settle claims and customer service issues
• Verify referrals/prior authorizations
• Acts as a liaison between the market and Humana

***This is not a remote role and will require you to be onsite.

Required Qualifications

• Must live in the Chicago, IL area
• 1+ years of customer service experience in a healthcare organization
• Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing
• Excellent verbal, listening and written communication skills
• Aptitude for quickly learning and navigating new technology, systems and applications
• Proficient in Microsoft Office Outlook, Word and Excel
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Preferred Qualifications

• Associate's degree or higher
• 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 and Medicaid experience

Additional Information

This is not a remote role; Daily travel is required to 6 locations - one location per day Monday-Friday 8:30a-4:30p, CST.

Language Proficiency Testing: 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.

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Pay Range

$47,300 - $61,800 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

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.