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in Portsmouth, VA

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Hours Full-time, Part-time
Location Portsmouth, Virginia

About this job

Role: Customer Care Specialist Assignment: Humana Government Business Location: Portsmouth, VA

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole. Assignment Capsule Schedules appointments for MTFs using appropriate guidelines. Verify patient eligibility through DEERS, confirm TRICARE data in CRIS, and update patient demographics in CHCS.

Our Department of Defense Contract requires U.S. citizenship for this position.

Using CHCS, schedule and cancel appointments for patients at MTFs (multiple clinics). Coordinates in a professional and courteous manner, with patients and clinic staffs to resolve patient issues and concerns.

Provide an explanation of TRICARE benefits, and answer questions regarding enrollment, portability and eligibility.

Input telephone consults in CHCS to the physicians enabling patient/provider contact on medical issues and concerns.

Verify patient eligibility through DEERS, confirm TRICARE status in CRIS, update patient demographics in CHCS.

Use CHCS to track and schedule referral appointments to the specialty clinics at the MTFs. Negotiate appointment date and time.

Key Competencies

Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same. Employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes. Sees opportunities to contribute and takes the initiative to create solutions.

Builds Trust : Consistently models and inspires high levels of integrity in decisions, speech, and actions. Lives up to commitments, taking responsibility for the impact of one's actions. Exercises the courage to prioritize principles and values over personal or professional gain.

Collaborates : Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others.

Customer Focus : Connects meaningfully with customers to build emotional engagement and customer advocacy. Develops and applies deep customer knowledge and intimacy to develop and deliver products, services, and interactions that provide value beyond expectations. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.

Role Essentials

One year minimum administrative work experience, including typing

High School diploma or GED

Must be able to work flexible hours & adaptable to change

Excellent verbal and telephone communication skills

Excellent interpersonal skills

Typing speed of 40 words per minute

Excellent customer service skills & pleasant phone voice

Able to handle high volume of calls and customer contacts in a polite and professional manner

Able to talk on telephone and type at the same time

Role Desirables

Knowledge of CHCS and Microsoft Word

Additional Information

At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana.