Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company dedicated to improving consumer experiences. The UM Administration Coordinator 2 contributes to the administration of utilization management by performing administrative and operational tasks, ensuring the best treatment and care for members.
Responsibilities
- Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review
- Document calls and attach clinical information to the member's medical record
- Create out written correspondence
- Collaborate with multiple roles/departments/providers/team members
Skills
- 1 or more years administrative or technical support experience
- The company must provide accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); the company recommends a speed of 10Mx1M
- Must be passionate about contributing to an organization focused on improving consumer experiences
- Must reside in Indiana
- Proficient using electronic medical record and documentation programs
- Proficient and experience with medical terminology or ICD-10 codes
- Associate or Bachelor's Degree in Business, Finance, Healthcare or a related field
- Prior member service or customer service telephone experience
- Experience with Utilization Review and Prior Authorization within a managed care organization
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
Company Overview