Consumer Service Operations Representative III

HumanaWashington, DC
9dOnsite

About The Position

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 PORT ST. LUCIE, FLORIDA AREA - YOU WILL BE TRAVELING TO ONE OF FOUR DIFFERENT LOCATIONS EACH DAY ON ROTATION IN THE AREAS LISTED BELOW. The 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

Requirements

  • Must be able/willing to travel between the 4 different locations in Stuart, East St. Lucie, Southeast St. Lucie, and West St. Lucie (zip codes ranging from 34994, 34952, 34984, and 34986). You will travel to a different clinic each day.
  • Minimum 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

Nice To Haves

  • 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

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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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