UM Administration Coordinator-2

Humana

21h • $40,000 - $52,300 • Remote

About The Position

Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, operational, customer support, and computational tasks working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following established procedures ensuring best treatment, care, or services for members. Prepare and forwards authorization request to clinical review Work within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing, and works. Must be passionate about contributing to an organization focused on improving consumer experiences.

Requirements

• 1 or more years administrative or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
• The company must provide accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); the company recommends a speed of 10Mx1M.
• Must be passionate about contributing to an organization focused on improving consumer experiences

Nice To Haves

• Proficient using electronic medical record and documentation programs
• Proficient and experience with medical terminology and/or ICD-10 codes
• Associate or Bachelor's Degree in Business, Finance, Healthcare or a related field
• Prior member service or customer service telephone experience
• Experience with Utilization Review and Prior Authorization within a managed care organization

Responsibilities

• Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review
• Document calls and attach clinical information to the member's medical record
• Create out written correspondence
• Collaborate with multiple roles/departments/providers/team members

Benefits

• Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees