Bilingual Care Management Support

This is a fully remote position, open to applicants in United States.

📋 Description

• Interact with members via phone to promote involvement in care management programs.

• Conduct necessary assessments and questionnaires to pinpoint health risks, care requirements, and chances for clinical team follow-up.

• Assist members in scheduling medical appointments and connecting them with suitable care resources.

• Recognize and help resolve barriers to preventive screenings, benefits, and health-related services.

• Aid members in comprehending, retaining, and utilizing health-related benefits.

• Handle both inbound and outbound calls in an auto-dialer setup.

• Record member information across various applications and platforms.

• Foster positive member experiences through respectful, patient, and professional interactions.

• Implement department guidelines, training, tools, and procedures.

• Work independently, manage time effectively, and adapt to shifting healthcare priorities and business processes.

⛳️ Requirements

• Must reside in Puerto Rico to qualify.

• Bilingual fluency in English and Spanish is required.

• Capability to pass necessary language proficiency evaluations in both English and Spanish.

• At least 1 year of experience managing a high volume of inbound and outbound calls.

• Proven track record meeting documented productivity, quality, or service performance standards.

• Experience in navigating, documenting, and updating member or customer details across multiple applications, programs, and platforms.

• Proficiency in Microsoft Word, Excel, Teams, and Outlook.

• Availability to work a scheduled 8-hour shift, including a 1-hour lunch, between 11:00 AM and 8:00 PM EST as assigned.

• Ability to thrive in a fast-paced call center environment.

• During the initial 2 weeks of training, hours will be from 9:00 AM to 5:30 PM EST.

• No time off is allowed during the 2-week training period.

• Management approval is necessary for time off during the first 90 days.

• Occasional mandatory overtime, including evenings and weekends, may be required.

• Home internet must meet a minimum of 25 Mbps download and 10 Mbps upload speeds.

• Must be able to work from a dedicated space free from ongoing interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Support for self-provided internet service requirements for home work, including minimum 25 Mbps download and 10 Mbps upload.

• Opportunity to work remotely from a dedicated space without ongoing interruptions.

• Occasional travel to Humana offices for training or meetings may be required.