UM Administration Coordinator

Humana • Skokie, IL

2d • $44,000 - $57,500 • Hybrid

About The Position

Humana Gold Plus Integrated is looking for UM Administration Coordinators to support both its Health Choice and MLTSS programs. In this position, you will help create authorizations, and work within defined parameters to identify expectations and quality standards but have some latitude over prioritization and timing. You will report to the Supervisor, UM Administration. As a UM Administration Coordinator, you 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.

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 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 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

What This Job Offers

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