Care Management Support Assistant

Humana

5d•Hybrid

About The Position

This is an unpaid internship for transitioning military service members or Military Spouses. The intern will work with the Medicaid Clinical Services team to optimize interactions with members. The internship provides an opportunity to train and work with Humana's Medicaid Team. The intern will utilize Humana's Medicaid training to apply acquired skillsets to perform various tasks including installation, implementation, client support, client services, client administration, customer service, enrollment, and eligibility. Additionally, the intern will be responsible for claims processing and call center operations, investigating and settling claims and customer service issues. Decisions typically focus on methods and processes for completing administrative tasks/projects, with the individual exercising discretion and judgment in prioritizing requests and interpreting procedures, processes, and techniques. The intern will adapt these procedures, processes, and techniques as needed and work under limited guidance due to previous experience, breadth, and depth of knowledge of administrative processes and organizational knowledge. In this role, the intern will be outreaching Parents or Facilities to confirm PPEC services and scheduling face-to-face visits, verifying ABA authorizations and services, and assisting members with payment for past due utilities, internet, or housing assistance. This process may require extensive research. The intern will collaborate with the Market and Care Managers regarding member needs and must be passionate about contributing to an organization focused on improving consumer experiences and be a Team Player.

Requirements

Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship
Minimum 1 year of customer service experience, including typing/data entry
Professional healthcare experience or education in a healthcare discipline
Proficient in Microsoft Office Outlook and Word
Working knowledge of computers, or a demonstrated technical skills new systems with the ability to work with multiple screens and databases while with data entry.
Must be a Military Spouse approved for this internship

Nice To Haves

CGX and QuickBase
Associate or Bachelor's Degree
Clerical support background in a healthcare environment
Familiarity with medical terminology or ICD-10 codes
CNA or Medical Assistant background
Quality background
Medicaid experience

Responsibilities

Outreach to Parents or Facilities to confirm PPEC services and schedule face-to-face visits.
Verify ABA authorizations and services.
Assist members with payment for past due utilities, internet, or housing assistance.
Collaborate with Market and Care Managers regarding member needs.
Perform tasks including installation, implementation, client support, client services, client administration, customer service, enrollment, and eligibility.
Handle claims processing and call center operations.
Investigate and settle claims and customer service issues.