Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company offering insurance and healthcare services. The UM Administration Coordinator provides non-clinical administrative support for utilization management, maintaining accurate documentation, following established processes, and helping ensure members receive appropriate care and services. The role also involves meeting quality and productivity standards, escalating exceptions, and collaborating with internal teams.
Responsibilities
- Support utilization management policies, procedures, and operations
- Assist with activities that promote appropriate member care and services
- Complete administrative tasks following established guidelines and procedures
- Maintain accurate records and documentation
- Meet quality, productivity, and timeliness expectations
- Prioritize and complete assigned work within designated timeframes
- Adhere to departmental policies, compliance requirements, and performance standards
- Escalate issues that fall outside established guidelines
- Collaborate with internal teams to support operational goals
- Perform work under close supervision and within defined processes
Skills
- Administrative or technical support experience
- Excellent verbal and written communication skills
- Strong attention to detail
- Strong typing and computer navigation skills
- Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Previous contact center or related customer service experience with telephone experience desired
- Healthcare experience
- High School diploma
- Proficient utilizing electronic medical record and documentation programs
- Proficient and/or experience with medical terminology and/or ICD-10 codes
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
- Previous employment with work at home background
Benefits
- Medical, dental and 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
- Remote position
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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