Über diese Bilingual Consumer Service Operations Representative (Chicago) Stelle bei CenterWell
Become a part of our caring community
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.
Use your skills to make an impact
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. Locations include Ashburn (Evergreen Park), Jeffrey Manor (South Chicago), Glenwood, Dolton, Oaklawn and Berwyn, Illinois
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 who are selected to move forward will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government prior to interviewing.
Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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
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.
