UM Administration Coordinator
About The Position
Humana Gold Plus Integrated is hiring UM Administration Coordinators to support its Health Choice and MLTSS programs. The role helps create authorizations and supports care management through non-clinical assistance with the assessment and evaluation of members’ needs. Work includes administrative, operational, and customer support assignments. The position operates within defined parameters and quality standards, with some latitude over prioritization and timing, and reports to the Supervisor, UM Administration. This is a hybrid home position requiring work in the Schaumburg, Illinois office one day per month. The schedule is Monday through Friday, 8 a.m. to 5 p.m. CST, with flexible scheduling and occasional nights and weekends. Occasional travel to Humana offices for training or meetings may be required. Home or hybrid employees must have internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace without ongoing interruptions to protect member PHI and HIPAA information.
Requirements
- At least 2 years of administrative support experience in the healthcare industry.
- At least 1 year of customer service experience.
- Prior billing/claims or authorization experience.
- For home or hybrid work, maintain internet service with at least 25 Mbps download and 10 Mbps upload speeds.
- Work from a dedicated space without ongoing interruptions to protect member PHI and HIPAA information.
Nice To Haves
- Reside in the Greater Chicago area, suburban Cook County, or nearby surrounding counties in Illinois.
- Associate degree or higher.
- Experience with Medicaid, Long-term Care, or Medicare members.
- Proficiency 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
- Create authorizations.
- Provide non-clinical support to help assess and evaluate members’ needs.
- Perform administrative, operational, and customer support assignments.
- Work within defined expectations and quality standards while prioritizing work and timing.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
