Consumer Service Operations Professional

Humana

1d•Remote

About The Position

This is an unpaid internship for transitioning military service members eligible for the DoW SkillBridge Internship or military spouses eligible for the Military Spouse Career Accelerator Fellowship. The intern will work with the Medicaid Clinical Services team to optimize interactions between the company and members. The Consumer Service Operations Professional Intern will utilize Humana’s Medicaid training and previously acquired skillsets to support Medicaid member mail processing. Primary responsibilities include receiving, sorting, and distributing incoming and outgoing correspondence related to Medicaid member services. The intern will ensure accurate and timely processing of enrollment forms, eligibility documentation, claims-related communications, and other member correspondence. Additional duties may include tracking mail status, maintaining confidentiality of member information, and collaborating with other teams to resolve mail processing issues and ensure compliance with Medicaid program requirements. 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. In this role you will be reviewing, and processing incoming member communications and routing appropriately. Must be passionate about contributing to an organization focused on continuously improving consumer experiences and be a team player and have the ability to work independently.

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
Excellent verbal, listening and written communication skills.
Proficient in Microsoft Office, Outlook and Word
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems with the ability to work with multiple screens and databases with paying attention to detail with data entry.

Nice To Haves

CGX, Excel, and QuickBase
Associate's or Bachelor's Degree
Clerical support background in a healthcare environment
Familiarity with medical terminology
CNA or Medical Assistant background
Medicaid experience

Responsibilities

Support Medicaid member mail processing.
Receive, sort, and distribute incoming and outgoing correspondence related to Medicaid member services.
Ensure accurate and timely processing of enrollment forms, eligibility documentation, claims-related communications, and other member correspondence.
Track mail status.
Maintain confidentiality of member information.
Collaborate with other teams to resolve mail processing issues.
Ensure compliance with Medicaid program requirements.
Review and process incoming member communications and route appropriately.