Medicare Inbound Contacts Representative - Work from Home

Humana; Linn (TX); Remote; USD 29,000 - 38,000; Full time

Job summary

A leading healthcare company is seeking an Inbound Contacts Representative to address customer inquiries. Responsibilities include handling over 25 inbound calls daily in a fast-paced environment. Ideal candidates should have customer service experience and strong communication skills. This position offers competitive compensation with a salary range of $29,300 - $37,100 annually and requires attendance during training.

Benefits

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off including holiday and volunteer time

Qualifications

• 1 year of customer service experience needed.
• Demonstrated customer service focus required.
• Strong attention to detail is essential.

Responsibilities

• Handle 25+ inbound calls daily.
• Record details of inquiries and interactions.
• Escalate unresolved customer grievances.

Skills

Customer service experience

Attention to detail

Typing and computer navigation skills

Communication skills

Ability to manage multiple priorities

Job description

Overview

Become a part of our caring community and help us put health first. The Provider Group Medicare Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The representative performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION

The Provider Group Medicare Inbound Contact Representative 2 addresses customer needs which may include answering complex benefit questions, resolving issues, and educating providers.

Responsibilities

• Handles 25+ inbound calls daily from providers to check on members and claims in a fast-paced inbound call center environment.
• Records details of inquiries, comments or complaints, transactions, or interactions, and acts accordingly.
• Escalates unresolved and pending customer grievances. Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Training and Schedule

Training: This position is scheduled to start on December 1, 2025. Virtual training starts on day one of employment and will run for the first 8 weeks with a schedule of 8:00 am to 5:00 pm Eastern Time, Monday - Friday.

Shift: After training, you will be assigned an 8-hour shift between the hours of 8:00 am – 6:00 pm Eastern Time.

Required Qualifications

• 1 year of customer service experience
• Demonstrated customer service focus
• Strong attention to detail
• High-level of typing and computer navigation skills
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
• Effective verbal and listening communication skills
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Previous inbound call center or related customer service experience
• Healthcare experience

Training and Work Requirements

• This position is scheduled to start on December 1, 2025. Virtual training starts on day one of employment and will run for the first 8 weeks with a schedule of 8:00 AM to 5:00 PM Eastern Time, 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 and limited within the first 180 days
• The initial 180 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 8:00 AM - 6:00 PM Eastern time, Monday - Friday. Early shifts are not a guarantee, so it is important to have availability during these hours.
• Some overtime may be required, based on business needs.

Additional Information

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.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Language Proficiency Testing

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Interview Process

As part of our hiring process for this opportunity, we will be using technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

• Video Prescreen: If you are successful with the text prescreen, you will receive another communication to record a Video Prescreen. This is an online video activity using your phone, tablet, or computer; however, most candidates prefer using a computer or tablet.
• Interviews: Some candidates will be invited to interview. If so, the recruiter will reach out to schedule.
• Offers: Finalists from the interview will be contacted by a recruiter to discuss an offer for the job
• Note: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Schedule and Pay

Scheduled Weekly Hours 40

Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $29,300 - $37,100 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.