
Humana
Recently posted
Care Management Support Assistant
Remote Nationwide
Job Description
Become a part of our caring communityAre you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first? During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between us and members are optimized. The Care Management Support Assistant Internship provides an opportunity to train and work with Humana's Medicaid Team. This internship is available to transitioning service members eligible to participate in the DoD SkillBridge Internship, as well as military spouses eligible to participate in the Military Spouse Fellowship. If you are interested in this position, we will require you to confirm eligibility.
The Care Management Support Assistant Intern will utilize Humana's Medicaid training. This training will enable the intern to engage formerly acquired skillsets to perform various tasks. These tasks include installation, implementation, client support, client services, client administration, customer service, enrollment, and eligibility. Additionally, the intern will be responsible for claims processing and call center operations. Investigate and settle claims and customer service issues.
Decisions typically focus on methods and processes for completing administrative tasks/projects. Regularly, the individual exercises discretion and judgment in prioritizing requests and interpreting procedures, processes, and techniques. Additionally, they adapt these procedures, processes, and techniques as needed. Due to their previous experience, breadth, and depth of knowledge of administrative processes and organizational knowledge, they work under limited guidance.
In this role, you will be outreaching Parents or Facilities to confirm PPEC services and scheduling face-to-face visits. You will also be verifying ABA authorizations and services, and assisting members with payment for past due utilities, internet, or housing assistance they are behind on. This process may require extensive research.
You will collaborate with the Market and Care Managers regarding member needs. You must be passionate about contributing to an organization focused on improving consumer experiences and be a Team Player.
Use your skills to make an impact
Required Qualifications
- Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship
- Minimum 1 year of customer service experience, including typing/data entry
- Professional healthcare experience or education in a healthcare discipline
- Proficient in Microsoft Office Outlook and Word
- Working knowledge of computers, or a demonstrated technical skills new systems with the ability to work with multiple screens and databases while with data entry.
- Must be a Military Spouse approved for this internship
Preferred Qualifications
- CGX and QuickBase
- Associate or Bachelor's Degree
- Clerical support background in a healthcare environment
- Familiarity with medical terminology or ICD-10 codes
- CNA or Medical Assistant background
- Quality background
- Medicaid experience
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
1
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
R-427312
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