Bilingual Consumer Service Operations Representative (Chicago)

Humana • Chicago, IL

7d • Onsite

About The Position

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.

Requirements

• 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.
• 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

Nice To Haves

• 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

Responsibilities

• 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

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree