BILINGUAL FL Medicaid Call Center Representative

Humana; Illinois; Remote; USD 39,000 - 50,000; Full time

Job summary

Join a forward-thinking company dedicated to enhancing healthcare for its members. As a Call Center Representative, you'll provide vital support to Medicaid members, ensuring they receive the best care possible. This role offers a unique opportunity to work from home while making a difference in people's lives. With comprehensive training and flexible hours, you will develop your skills in a supportive environment. Embrace the chance to contribute to a mission-driven organization that values your efforts and offers competitive compensation and benefits.

Benefits

Health Coverage

401(k)

Paid Time Off

Disability Insurance

Life Insurance

Qualifications

• Minimum one year of customer service experience required.
• Bilingual in Spanish preferred for effective communication.

Responsibilities

• Handle up to 75 calls per day from Medicaid customers.
• Assist members with healthcare inquiries and support.

Skills

Customer Service Experience

Bilingual in Spanish

Microsoft Office Proficiency

Technical Skills

Interpersonal Skills

Organizational Skills

Education

Associate Degree

Bachelor's Degree

Tools

Microsoft Outlook

Microsoft Teams

Job description

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 Fortune 100 company that focuses on the well-being of their customers? Join Humana’s Member Calls Organization! Our Call Center Representatives are passionate about helping people with their healthcare needs, especially our Medicaid members, to provide the best solutions and outcomes in a best-in-class contact center.

Responsibilities

• Provide coverage for Eastern Time Zone hours, handling up to 75 calls per day from Florida Medicaid customers regarding their health benefits.
• Support Medicaid Outbound Call Campaigns by conducting outreach to members.
• Assist members with PCP changes, locating providers and specialists, benefit coverages, authorizations, provider claims inquiries, grievances and appeals, transportation needs, and pharmacy support.

Qualifications

• Reside in the Eastern or Central Time Zone in specified states.
• Bilingual in Spanish (see Language Proficiency Testing below).
• Minimum one year of customer service experience.
• Proficiency with Microsoft Office, Outlook, and Teams.
• Strong technical skills across multiple software systems.
• Excellent interpersonal and organizational skills.
• Ability to meet call, attendance, and performance metrics.

Training and Work Schedule

• Training begins on June 30, 2025, with virtual sessions for 8 weeks, Monday to Friday, 8:00 AM to 4:30 PM Eastern.
• Attendance and punctuality are essential during training and the first 60 days.
• Post-training, work hours will be flexible between 7:45 AM and 8:00 PM Eastern, Monday to Friday, with possible overtime.

Preferred Qualifications

• Associate or Bachelor’s Degree.
• Previous call center or healthcare experience.

Work from Home Requirements

• Reliable internet with minimum speeds of 25 Mbps download and 10 Mbps upload.
• Use of approved wired or wireless connection, with exceptions approved by leadership.
• Dedicated workspace free from interruptions.

Language Proficiency Testing

Any associate speaking with members in a language other than English must complete a language proficiency assessment via an outside vendor, including the ILR test for federal certification.

Additional Information

Applicants must attach a resume in PDF or Word format. The hiring process includes prescreen questions, a Virtual Job Experience, a video prescreen, and possibly an interview. The process may take several weeks.

Compensation and Benefits

Starting salary ranges from $39,000 to $49,400 annually, with comprehensive benefits including health coverage, 401(k), paid time off, disability, and life insurance.

About Humana

Humana is committed to health and well-being, serving diverse communities and focusing on quality care and service.

Equal Opportunity Employer

Humana does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or genetic information, and promotes affirmative action in employment.