About The Position

Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 - provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Provides exceptional customer service to providers, including completing all necessary paperwork, documentation and forms; meet or exceed monthly individual and team goals. Acts in accordance with Humana's ethics and compliance policies and connects industry and regulatory changes to our strategy. Articulates how Humana's value proposition differentiates us. 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. Use your skills to make an impact

Requirements

  • 1+ years of administrative or technical support experience with a health plan, healthcare organization, or provider.
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
  • Excellent verbal and written communication skills.

Nice To Haves

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

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.
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