UM Administration Coordinator
Humana
•$39,000 - $49,400•Remote
About The Position
As a remote Utilization Management (UM) Administrative Coordinator, you will report to a Supervisor of Referrals and support the Behavioral Health (BH) UM department, performing varied activities with a focus on administrative and supportive assignments. You will monitor the BH UM phone queue, enter data into the medical management system, and provide a non-clinical overview of documentation to pend tasks to appropriate queues for completion or to request additional information. Use your skills to make an impact.
Requirements
- U.S. citizenship required for this position due to Department of Defense Contract
- Must successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service)
- Must be able to work 9:30 AM - 6 PM
- Must live in the central, mountain, or pacific time zone
- 2 years of experience with administrative support, including data entry
- 2 years of customer service telephone experience
- 2 years of experience with medical terminology and/or ICD-10 codes
- 2 years of experience with electronic medical record and documentation programs
- Self-provided internet service must meet at minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps; wireless, wired cable or DSL connection is suggested.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Nice To Haves
- Behavioral health experience
- TRICARE or military health system experience
- Experience with Utilization Review and/or Prior Authorization in a managed care organization
- Satellite, cellular and microwave connection can be used only if approved by leadership
Responsibilities
- Monitor the BH UM phone queue
- Enter data into medical management system
- Provide non-clinical overview of documentation to pend tasks to appropriate queues who can complete or request additional information
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term disability
- Long-term disability
- Life insurance
- Bi-weekly payment for internet expense (for associates in California, Illinois, Montana, or South Dakota)
- Telephone equipment provided
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
