Remote Bilingual Medicare Call Center Agent

Humana; United States; Remoto; USD 17.908 - 24.796; Tempo integral

Benefícios oferecidos por esta vaga

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid time off

Disability insurance

Life insurance

Resumo da vaga

Humana is seeking a CarePlus Medicare Call Center Representative 2 to handle high‑volume inbound inquiries from Medicare members, with outbound outreach to related providers. The role emphasizes one‑call resolution, empathy, and accuracy in documentation.

The position requires English/Spanish fluency, at least one year of customer service experience, and the ability to manage multiple priorities using Microsoft Office tools.

Qualificações

• Residency in the Commonwealth of Puerto Rico.
• Fully bilingual in English and Spanish, with proficiency in speaking, reading, and writing in both languages.
• At least 1 year of customer service experience.
• Demonstrated strong customer service, effective communication, active listening, and attention to detail.
• Experience managing multiple priorities and using multiple computer applications simultaneously.
• Proficiency with Microsoft Office applications, particularly Outlook and Teams.
• Ability to maintain professional demeanor and confidentiality for sensitive information.
• Strong initiative, adaptability to change, and empathy.

Responsabilidades

• Handle 20 to 35 inbound calls daily, resolving member inquiries with a focus on one‑call resolution.
• Make outbound calls to physicians, DME vendors, pharmacies or other entities for 60% to 70% of inbound calls to assist members.
• Record details of inquiries, comments, complaints, transactions, or interactions accurately and take appropriate action.
• Escalate unresolved or pending customer grievances.
• Work under minimal direction while prioritizing tasks and maintaining quality standards.
• Follow standard policies and practices, exercising independent discretion where applicable.

Conhecimentos

Customer service

Bilingual English/Spanish

Multi-tasking

MS Office (Outlook/Teams)

Empathy

Formação

Associate or Bachelor’s degree

Ferramentas

Outlook

Teams

Descrição da vaga

Humana is seeking a CarePlus Medicare Call Center Representative 2 to handle high‑volume inbound inquiries from Medicare members, with outbound outreach to related providers. The role emphasizes one‑call resolution, empathy, and accuracy in documentation.

The position requires English/Spanish fluency, at least one year of customer service experience, and the ability to manage multiple priorities using Microsoft Office tools.