[Remote] BILINGUAL FL Medicaid Contact Center Representative at Humana

Florida, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Must reside in the State of Florida
Bilingual in Spanish and English
Minimum one (1) year customer service experience
Proficiency with Microsoft Office applications, particularly Outlook and Teams
Strong technical skills with the ability to work across multiple software systems
Excellent interpersonal skills and the ability to organize simultaneous tasks
Ability to meet monthly call, attendance, and performance metrics
Must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities
Internet speed: Minimum download speed of 25 Mbps and an upload speed of 10 Mbps

Responsibilities

Taking as many as 75 calls per day from Florida Medicaid customers who have questions about their health benefits
Supporting Medicaid Outbound Call Campaign efforts by conducting outreach calls to members
Assisting members with PCP changes, locating Providers / Specialists, benefit coverages, authorizations, Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy support

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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