UM Administration Coordinator

Humana

2d • $40,000 - $52,300 • Remote

About The Position

Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. Reporting to the UM Behavioral Manager, you will perform varied activities and moderately complex administrative/operational/customer support assignments as well as perform computations and work on semi-routine assignments.

Requirements

• 1 or more years administrative, customer service or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
• Can attend 4-week training process with no absences

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
• Prior member service or customer service telephone experience
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Responsibilities

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing.
• Works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree