Job Details

Inbound Contacts Representative 1 Patient Care Coordinator

Company name
Humana Inc.

Location
Cincinnati, OH, United States

Employment Type
Full-Time

Industry
Administrative, Healthcare, Customer Service, Bilingual

Posted on
Dec 21, 2021

Apply for this job






Profile

Description

The Inbound Contacts Representative 1 (Patient Care Coordinator) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 (Patient Care Coordinator) performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

Responsibilities

The Inbound Contacts Representative 1 (Patient Care Coordinator) addresses customer needs which may include complex benefit questions, resolving issues, and educating members. Records details of inquiries, comments or complaints, transactions or interactions and takes action in accordance to it. Escalates unresolved and pending customer grievances. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.

Take inbound calls from members related to Specialty mail-order medications

Document all calls and provide assistance and information to members

Build lasting relationships with Humana's members

Meet metrics as assigned by the department

Required Qualifications

High School Diploma or equivalent

1 year of customer service experience or call center experience

Passion for customer service and member satisfaction

Aptitude for quickly learning and navigating new technology systems and applications

Effective verbal and listening communication skills

A positive attitude, flexible, and highly motivated

Capacity to maintain confidentiality

Strong attention to detail

Ability to work 8:00am-11:00pm Monday-Friday, and every Saturday( 8:00am-6:30pm EST) as well as overtime, especially during our peak season (October-March)

Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test

Preferred Qualifications

Bilingual in English and Spanish - able to read, write, and speak both fluently

Call Center experience

Associate's or Bachelor's Degree

Operations, Healthcare or Pharmacy experience

Working knowledge of Argus

Additional Information

If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker

This role have to potential to become work at home after training is over and metrics are being consistently met (at least 6 months)

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This role will assist in identifyin...
STNA; CNA; & Home Health Aide
Location : Cincinnati, OH
A Miracle Homecare Currently looking to fill HHA positions in Cincinnati, Ohio . Flexible schedules, potential for bonus, and the sense of fulfillment as you are helping people in need. Start your new career with no experience nee...
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursem...
I was facing the seven-year itch at my previous workplace. Thanks to EmploymentCrossing, I'm committed to a fantastic sales job in downtown Manhattan.
Joseph L - New York, NY
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 169 192