UM Administration Coordinator - Healthcare

Humana • Remote US, OH

1d • $40,000 - $52,300 • Remote

About The Position

The UM Administration Coordinator 2 contributes to the administration of utilization management. This role performs varied activities and moderately complex administrative/operational/customer support assignments. The UM Administration Coordinator 2 provides non-clinical support for procedures, ensuring the best treatment, care, or services for members receiving Behavioral health services. Decisions are typically focused on the interpretation of area/department policy and methods for completing assignments. Work is performed within defined parameters to identify work expectations and quality standards, but with some latitude over prioritization and timing. The role follows standard policies that allow for some opportunity for interpretation/deviation and independent action.

Requirements

• 1+ year administrative experience in a healthcare field.
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment.
• Ability to quickly learn new systems.

Nice To Haves

• Proficient using electronic medical record and documentation programs.
• Managed care experience.
• Proficient and experienced with medical terminology or ICD-10 codes.
• Prior member service or customer service telephone experience.
• Experience with Utilization Review or Prior Authorization.

Responsibilities

• Contributes to the administration of utilization management.
• Performs varied activities and moderately complex administrative/operational/customer support assignments.
• Performs computations.
• Typically works on semi-routine assignments.
• Provides non-clinical support for procedures ensuring best treatment, care or services for members receiving Behavioral health services.
• Makes decisions focused on interpretation of area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, with some latitude over prioritization/timing.
• Follows standard policies that allow for some opportunity for interpretation/deviation and independent action.

Benefits

• Medical benefits
• Dental benefits
• 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 disability
• Long-term disability
• Life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed