Medicare Inbound Contacts Representative - Work from Home

Humana; United States; Remote; USD 29,000 - 38,000; Full time

Job summary

A healthcare organization seeks a Provider Group Medicare Inbound Contacts Representative 2 to handle high call volumes and provide customer support. The role requires a passion for customer service, with a focus on resolving inquiries and educating providers. Candidates should have strong communication skills and a willingness to learn numerous systems. This full-time position offers a competitive salary and benefits, with a structured training program.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Time off

Qualifications

• 1 year of customer service experience.
• Ability to manage multiple priorities.
• Passionate about improving consumer experiences.

Responsibilities

• Handle 25+ inbound calls daily from providers.
• Record details of inquiries and escalate grievances.
• Work within defined parameters and follow standard policies.

Skills

Customer service focus

Attention to detail

Typing skills

Effective communication skills

Job description

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.

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

• 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.

Use your skills to make an impact

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.

Responsibilities and Qualifications

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

Work Schedule and Requirements

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.

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.

Some overtime may be required, based on business needs.

Compensation and Benefits

Pay Range: $29,300 - $37,100 per year

Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off, and more.

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.