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Care Management Support Assistant

🔥 0 minutes ago

🇺🇸 United States – Remote

⏱ Part Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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đź‘» Ghost score 10%

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Logo of Humana

Humana

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

đź“‹ Description

• Work with the Medicaid Clinical Services team to optimize interactions between Humana and its members • Utilize Humana's Medicaid training to perform administrative and support tasks • Perform installation, implementation, client support, client services, client administration, customer service, enrollment, and eligibility tasks • Process claims and support call center operations • Investigate and settle claims and customer service issues • 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 • Conduct extensive research as needed • Collaborate with Market and Care Managers regarding member needs

🎯 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 demonstrated technical skills with new systems and the ability to work with multiple screens and databases while with data entry • Must be a Military Spouse approved for this internship • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Unpaid internship • Humana's Medicaid training • Occasional travel to Humana's offices for training or meetings may be required • Self-provided internet service requirements and dedicated workspace guidance for home or hybrid home/office employees

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