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Remote Humana Customer Service Representative Jobs in California

Medix

$23/hr

Customer Service Representative (Remote) Location : Remote (Candidate should be based in SoCal) Pay : $23/hr Overview of Responsibilities: We are seeking a dedicated Customer Service Representative ...

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Remote Humana Customer Service Representative information

What is the difference between Remote Humana Customer Service Representative vs Remote UnitedHealth Group Customer Service Representative?

AspectRemote Humana Customer Service RepresentativeRemote UnitedHealth Group Customer Service Representative
CredentialsHigh school diploma or equivalent; healthcare knowledge beneficialHigh school diploma or equivalent; healthcare or insurance knowledge beneficial
Work EnvironmentHome-based, flexible hours, call center settingHome-based, flexible hours, call center setting
Industry UsageHealthcare insurance, Medicare, MedicaidHealth insurance, Medicare, Medicaid
Common Search IntentComparing remote healthcare insurance rolesComparing remote healthcare insurance roles

The Remote Humana Customer Service Representative and Remote UnitedHealth Group Customer Service Representative roles share similar credentials, work environments, and industry focus. Both positions involve providing customer support for healthcare insurance plans from home, often requiring a high school diploma and healthcare knowledge. They are frequently compared by job seekers exploring remote opportunities in health insurance customer service within leading industry companies.

What are the most commonly searched types of Humana Customer Service Representative jobs in California? The most popular types of Humana Customer Service Representative jobs in California are:
What cities in California are hiring for Remote Humana Customer Service Representative jobs? Cities in California with the most Remote Humana Customer Service Representative job openings:
Remote Humana Customer Service Representative jobs near you

Customer Service Representative (Remote)

Medix

On-site, Remote

$23/hr

Full-time

Re-posted 16 days ago

Job description

Job Title : Customer Service Representative (Remote)
Location : Remote (Candidate should be based in SoCal)
Pay : $23/hr
Overview of Responsibilities:
We are seeking a dedicated Customer Service Representative to join our Provider Contact Center team as a telecommuter in Southern California. The selected candidate should be familiar with HMOs, claims processing, and authorization/referral procedures. The Customer Service Representative is responsible for providing exceptional service to our provider offices.
Key Responsibilities:
• Handle a high call volume, averaging 60 calls per day.
• Maintain a service level of 80/30, answering 80 percent of calls in 30 seconds or less.
• Assist members and healthcare providers with inquiries related to authorizations, claims, and provider billing.
• Process claims and ensure accuracy in claim handling.
• Collaborate with colleagues in the provider support center to address customer concerns and resolve issues promptly.
• Utilize IDX for claims processing
Must-Have Skills/Qualifications:
• 1+ years of customer service or member service experience.
• Exp with claims/claims processing
• Strong understanding of Health Maintenance Organizations (HMOs). • Familiarity with authorization and referral processes.
• Experience in managing a high call volume efficiently.
• Excellent communication and problem-solving skills.
• Ability to work independently in a remote setting.
• M-F 7:30am-4:00pm
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
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About Medix Staffing Solutions

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Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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