Chicago, IL
Full-time
Mid level
2 weeks ago
Apply link not verified recently — we re-check every 2 hours
Salary undisclosed
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 40 Pay 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. $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
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