Bilingual (English\/Spanish) Consumer Service Operations Representative 3- Broward County, FL
Humana

Job Info

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Description

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.

Responsibilities

THIS POSITION IS LOCATED IN THE MIRAMAR/FORT LAUDERDALE, FL AREA - YOU WILL BE TRAVELING TO 5 DIFFERENT LOCATIONS EACH DAY IN THE AREAS LISTED BELOW.

The Bilingual Consumer Service Operations Representative 3 may perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims and customer service issues. 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. This position requires the associate totravel tofiveprovider centers located in the Fort Lauderdale, FL area. The successful candidate willrequire a bilingualskillset - (i.e. English and Spanish).

Required Qualifications

• 1+ years of customer service experience, including typing/data entry
• Previous inbound and/or outbound customer service experience in a healthcare setting
• Bilingual English/Spanish: ability to read, write, speak fluently without limitations or assistance
• Must be able to travel between the 5 different locations in Plantation, Margate, Coral Springs, Tamarac, and Coconut Creek. You will travel to a different clinic each day.
• Excellent verbal, listening and written communication skills
• Aptitude for quickly learning and navigating new technology, systems and applications
• Proficient in Microsoft Office Outlook and Word
• Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

Preferred Qualifications

• Associate's or Bachelor's Degree
• 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 experience
• 2 years of leadership, escalated calls, team lead or similar experience

Additional Information

• The fivework locations are in Plantation, Margate, Coral Springs, Tamarac, and Coconut Creek
• Mileage reimbursement is available for travelingpurposes (up to company discretion and policy)
• Relocation assistance is also available (up to company discretion/policy)
• 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.

Scheduled Weekly Hours

40

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