[Hiring] Consumer Service Operations Professional @Humana

Role Description

Become a part of our caring community. Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first?

During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are optimized.

The Consumer Service Operations Internship provides transitioning service members that are eligible to participate in the DoW SkillBridge Internship, or military spouses that are eligible to participate in the Military Spouse Career Accelerator Fellowship, with an opportunity to train and work with Humana.

If you are interested in this position, you will be required to confirm eligibility to participate in the DoW SkillBridge or Military Spouse Career Accelerator Programs.

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.
• Ensuring accurate and timely processing of enrollment forms, eligibility documentation, claims-related communications, and other member correspondence.
• Tracking mail status and maintaining confidentiality of member information.
• Collaborating with other teams to resolve mail processing issues and ensure compliance with Medicaid program requirements.

Decisions are typically focused 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 with the ability to work independently.

Qualifications

• 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 while paying attention to detail with data entry.

Requirements

• 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

• The DOW SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period averaging 90 days.
• The 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.
• Networking opportunities will be provided while participating in the Internship or Fellowship.
• Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.

Workstyle

• Remote Work at Home.
• Location: U.S.
• Work Schedule: Must be willing to work weekdays 8:00 AM to 5:00 PM Eastern Time.
• Travel: None - May need to report to the office for meetings or trainings as needed depending on location.

Interview Format

As part of our hiring process, we will be using an exciting interview with technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive an email correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. Please be sure to check your spam or junk folders often to ensure communication isn’t missed.

If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to the next round of interviews.

SSN Alert

Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

• 1

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.