Bilingual Consumer Service Operations Rep
Miramaronsite$40K – $52K
Posted today · via Workday
About this role
Become a part of our caring community Join Humana's Infusion Pharmacy team and help patients access the medications and care they need. As a Bilingual Consumer Service Operations Representative, you will partner with providers, patients, and health plans to manage pharmacy referrals and prior authorizations for managed care members. Reporting to the Consumer Service Operations Supervisor, you will review and process health and prescription claims, ensure compliance with payer requirements, including Medicare and Medicaid guidelines, and help guide efficient, accurate service delivery. You'll serve as a trusted resource for customers and healthcare providers, resolve complex issues, support audits and special projects, and contribute to team success by mentoring and training colleagues.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: monday, teams
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Miramar. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
mondayteams