UM Administration Coordinator

HumanaSchaumburg, IL
$44,000 - $57,500Hybrid

About The Position

Humana Gold Plus Integrated is looking for a UM Administration Coordinator. This role will help create authorizations and work within defined parameters to identify expectations and quality standards, with some latitude over prioritization and timing. The UM Administration Coordinator will contribute to the administration of care management by providing non-clinical support to help in the assessment and evaluation of members' needs. Tasks include administrative, operational, and customer support assignments. This is a hybrid office position, requiring work in our Schaumburg, Illinois office 2 days per week. Work hours will be Monday-Friday 8am-5pm CST with flexible scheduling, including occasional nights and weekends.

Requirements

  • Must reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois
  • 2+ years of administrative support experience in the healthcare industry
  • 1+ years of customer service experience
  • Prior billing/claims or authorization experience

Nice To Haves

  • Associates degree or higher
  • Experience with Medicaid, Long-term Care, or Medicare members
  • Proficient using electronic medical record and documentation programs
  • Experience with medical terminology and ICD-10 codes
  • Experience with Utilization Review and Prior Authorization within a managed care organization

Responsibilities

  • Help to create authorizations
  • Work within defined parameters to identify expectations and quality standards
  • Provide non-clinical support to help in the assessment and evaluation of members' needs
  • Perform administrative, operational, and customer support assignments

Benefits

  • medical
  • dental
  • 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
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