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Consumer Service Operations Professional

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Logo of Humana

Humana

10,000+ employees

Founded 1961

⚕️ 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

• Ensure interaction between the company and members are optimized • Support Medicaid member mail processing • Receiving, sorting, and distributing 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 • 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 • Reviewing and processing incoming member communications and routing appropriately

🎯 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 • 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

🏖️ Benefits

• Networking opportunities will be provided while participating in the Internship or Fellowship • SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience for a period averaging 90 days • Military Spouse Career Accelerator Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities for a period up to 12 weeks

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