About the position
The Utilization & Disease Management Administration Coordinator - Census Management plays a crucial role in the administration of utilization management within Conviva, a subsidiary of Humana, Inc. This position is designed for individuals who are passionate about healthcare and want to contribute to improving consumer experiences. The coordinator will perform a variety of administrative, operational, and customer support tasks that are moderately complex in nature. This includes collaborating with hospitals to reconcile census data, creating daily admit/discharge reports, and maintaining accurate census information. The role requires a proactive approach to ensure that all data is verified and entered into the system accurately, which is essential for effective utilization management. As a remote position, the coordinator will work from home, but must reside in specific states including Texas, Florida, Kansas, Kentucky, or Nevada. The job emphasizes the importance of a dedicated workspace that minimizes interruptions to protect member PHI and HIPAA information. The coordinator will also be expected to utilize various software tools, particularly MS Office, to manage reports and communications effectively. This role is ideal for someone who thrives in a dynamic environment and is eager to make a positive impact in the healthcare industry.
Responsibilities
- Collaborate with hospitals to reconcile hospital and alternate level of care census.
- Create daily UM admits/discharge reports and fax updated census reports to hospitals and hospitalists.
- Assist in maintaining and reporting census information and other statistics.
- Verify and enter admits and discharges into the system.
- Perform varied activities and moderately complex administrative and operational assignments.
Requirements
- 1 or more years of healthcare administrative or technical support experience.
- Current or past HMO experience.
- Excellent verbal and written communication skills.
- Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment.
- Ability to quickly learn new systems.
- Must have accessibility to high-speed DSL or Cable modem for a home office.
Nice-to-haves
- Proficient in utilizing electronic medical record and documentation programs.
- Experience with medical terminology and/or ICD-10 codes.
- Bachelor's Degree in Business, Finance, or a related field.
- Prior member service or customer service telephone experience.
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.
Benefits
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Paid time off, including company and personal holidays.
- Volunteer time off.
- Paid parental and caregiver leave.
- Short-term and long-term disability.
- Life insurance.
