UM Administration Coordinator

Humana • Indianapolis, MI

1d • $40,000 - $52,300 • Remote

About The Position

Join Humana's Medicaid Utilization Management (UM) team and help members access the care they need. As a UM Administration Coordinator 2, you will support the prior authorization process by managing clinical documentation, verifying member eligibility and benefits, and ensuring accurate, timely processing of requests. This position is ideal for a detail-oriented healthcare professional who enjoys working in collaborative environment and contributing to positive member outcomes. You'll leverage your administrative and customer support skills while gaining exposure to utilization management processes within a leading healthcare organization.

Requirements

• One (1) or more years of administrative experience in a healthcare environment.
• Proficient in Microsoft Office applications, including Word, Excel, and Outlook, within a Windows-based environment.
• Comfortable learning and using new systems, tools, and technology.

Nice To Haves

• Experience with utilization review or prior authorization within a managed care organization.
• Proficient using electronic medical record and documentation programs.
• Experience with medical terminology and ICD-10 codes.
• Prior provider service or customer service telephone experience.

Responsibilities

• Manage and organize documentation related to prior authorization requests, including clinical requests and receipt of clinicals.
• Maintain accurate records and ensure timely data entry into the clinical documentation system.
• Research participating status to ensure compliance with Humana policies.
• Verify member eligibility and benefits for prior authorization requests.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, 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: No Education Listed