Bilingual Consumer Service Operations Representative III

Consumer Service Operations Representative 3

Become a part of our caring community and help us put health first. 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. This position is located in the Fort Lauderdale, Florida area - you will be traveling to one of four different locations each day on rotation in the areas listed below.

The Bilingual Consumer Service Operations Representative III may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and settles claims and customer service issues. Decisions typically focus on methods, tactics and processes for completing administrative tasks / projects. This individual 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.

Use your skills to make an impact.

Required Qualifications

Must be able / willing to travel between the four different locations in Miami Gardens, Miami, Hollywood, and Ft. Lauderdale (zip codes ranging from 33169, 33150, 33024, and 33311). You will travel to a different clinic each day.

Bilingual English / Spanish : ability to read, write, speak fluently without limitations or assistance

Minimum of 1 year of customer service experience in a healthcare setting

Proficient in Microsoft Office, Outlook, Word, and Excel

Excellent verbal, listening and written communication skills

Aptitude for quickly learning and navigating new technology, systems and applications as well as working knowledge of computers

Preferred Qualifications

Undergraduate Degree

Clerical support experience in a healthcare environment

CNA or Medical Assistant experience

Quality experience

Medicare experience

Familiarity with medical terminology and / or ICD-10 codes

Additional Information :

Must be able / willing to travel between the four different locations in Miami Gardens, Miami, Hollywood, and Ft. Lauderdale (zip codes ranging from 33169, 33150, 33024, and 33311). You will travel to a different clinic each day.

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.

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 : $43,000 - $56,200 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.