Note: The job is a remote job and is open to candidates in USA. Humana is a U.S. healthcare company focused on helping people achieve their best health through insurance and healthcare services. The UM Administration Coordinator provides non-clinical administrative support for utilization management activities, maintaining accurate records, completing operational tasks, and supporting efficient workflows under established processes and close supervision.
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
- 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
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- Occasional travel to Humana's offices for training or meetings may be required
- Previous contact center or related customer service experience with telephone experience desired
Benefits
- 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.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Remote work arrangement
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
Company Overview
Company H1B Sponsorship