BILINGUAL FL Medicaid Contact Center Representative
HumanaAbout the role
Become a part of our caring community and help us put health first
Do you have a desire to work from home? Do you love assisting others when they are in need? Are you looking for valuable experience working for a Fortunate 100 company that focuses on the well-being of their customers? Come be a part of Humana’s Member Calls Organization! Our Call Center Representatives have a passion for assisting people with their healthcare needs; in particular, our Medicaid members, to provide the best solutions and outcomes working in a best-in-class contact center.**PLEASE MAKE SURE YOU ATTACH YOUR ENGLISH VERSION RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **
As a Contact Center Representative 2, you will provide coverage for Eastern Time Zone hours, taking as many as 75 calls per day from Florida Medicaid customers who have questions about their health benefits. This is a high-volume call center setting which can be stressful at times. In addition, you would also support our Medicaid Outbound Call Campaign efforts by conducting outreach calls to our members. As their advocate, you will assist them with PCP changes, locating Providers / Specialists, benefit coverages, authorizations, Provider claims inquiries, grievances and appeals, transportation needs, and pharmacy support.
Use your skills to make an impact
Required Qualifications
Must reside in the State of Florida
Must be Bilingual in Spanish and English (see Language Proficiency Testing below)
Minimum one (1) year customer service experience is required
Proficiency with Microsoft Office applications, particularly Outlook and Teams
Strong technical skills with the ability to work across multiple software systems including email, chats, efficient typing skills, and toggling across multiple databases while engaging with callers
Must have excellent interpersonal skills and the ability to organize simultaneous tasks
Must meet monthly call, attendance, and performance metrics
Preferred Qualifications
Associate or bachelor’s Degree
Previous Inbound and/or Outbound call center or related customer service experience
Prior healthcare experience
Required Training Schedule:
This position is tentatively scheduled to start on December 15, 2025. Virtual training begins on day one of employment and will run for the first 8 weeks with a schedule of 8:00 AM to 4:30 PM Eastern, Monday - Friday.
You must be on time, dressed appropriately / camera ready, with your camera on during training and for other meetings required by leadership.
Attendance is vital for your success; no time off will be allowed during training or within the first sixty (60) days following .
The initial 120 days of employment as an Inbound Contact Center Representative constitute an appraisal period. This Appraisal Period is essential to your learning and development, which is why we ask for perfect attendance during both the classroom training and nesting periods.
This position requires learning many systems, policies, and tools, and it takes time to become proficient in the role. You must be willing to remain in this position for a period of twelve (12) months before applying to other Humana opportunities.
Required Work Schedule:
Following training, associates must be able to work an 8-hour shift between the hours of 7:45 AM - 8:00 PM Eastern time, Monday - Friday. Early shifts are not guaranteed, so it is important to have availability during these hours.
Some overtime may be required, based on business needs.
**PLEASE MAKE SURE YOU ATTACH YOUR ENGLISH VERSION RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) **
Work at Home Guidance
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Associates who live and work from Home in the state of Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense
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