Humana Medicare Membership Retention Specialist - Queen or Brooklyn, NY

Humana Medicare Membership Retention Specialist - Queen or Brooklyn, NY

08 May 2024
New York, Albany 00000 Albany USA

Humana Medicare Membership Retention Specialist - Queen or Brooklyn, NY

Vacancy expired!

DescriptionThe Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area, including but not limited to mobile touch point locations in the various markets. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment.Responsibilities

The Consumer Service Representative 3 will focus on membership retention of current and new members by providing local proactive “high touch” outreach and enhanced member experience. This role includes functions relative to benefits, enrollment and eligibility, member support, claims interpretation and processing, agent support, onboarding, local agency outreach, billing issues, payments, provider questions and call center operations. The Representative will regularly exercise discretion and judgment in prioritizing requests, interpreting and adapting procedures, processes and techniques.

Additional Job Description:The Consumer Service Representative 3 will work alongside a Sales Manager in a specific market by making outbound calls and proactively managing potential member dissatisfaction. Representatives must document and track all interactions based upon CMS guidelines, participate in interdepartmental discussions and planning and assist the Enterprise Test and Learn Committee in measuring retention impact. The focus areas for membership retention are:

Dual-SNP member

Newly enrolled with Humana

Broker/telesales/online enrollment, or an orphaned member

Required Qualifications

High School Diploma or equivalent

1-3 years of customer service experience, including typing/data entry

Previous inbound and/or outbound call center or related customer service experience

Excellent verbal, listening and written communication skills

Aptitude for quickly learning and navigating new technology, systems and applications

Proficient in Microsoft Office Outlook and Word

Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems

2 years of leadership, escalated calls,team lead or similar experience

Bilingual English & Mandarin

Preferred Qualifications

Associate's or Bachelor's Degree

Previous healthcare experience

Clerical support background in a healthcare environment

Familiarity with medical terminology and/or ICD-10 codes

CNA or Medical Assistant background

Quality background

Medicare experience

Additional InformationScheduled Weekly Hours40About UsEqual Opportunity EmployerIt is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailboxtasrecruit@humana.com for assistance.Humana Safety and SecurityHumana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailboxtasrecruit@humana.com to validate the request.

Related jobs

Job Details

  • ID
    JC2250937
  • State
  • City
  • Full-time
  • Salary
    N/A
  • Hiring Company
    Humana
  • Date
    2019-05-08
  • Deadline
    2019-07-07
  • Category

Jocancy Online Job Portal by jobSearchi.