Humana logo

UM Administration Coordinator

Humana
Department:Administrative
Type:REMOTE
Remote Region:USA
Location:United States
Experience:Entry level
Salary:$37,200 - $51,200
Skills:
HEALTHCARE EXPERIENCEADMINISTRATIVE SUPPORTCUSTOMER SERVICEMICROSOFT WORDMICROSOFT OUTLOOKMICROSOFT EXCELDATA ENTRYTELEPHONIC COMMUNICATION
Share this job:

Job Description

Posted on: November 27, 2024

Become a part of our caring community and help us put health first The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Key Responsibilities

  • Attaching faxes for chart reviews for the nursing team
  • Make inbound/outbound calls daily to providers to verify clinical information/discharge date and admission status
  • Document calls and attach clinical information received
  • Manage queues and assign cases
  • Request clinical information from providers/facilities
  • Create and send out written correspondence
  • Ability to multitask and prioritize in a high production environment
  • Collaborate with multiple roles/departments/providers/team members

Required QualificationsUse your skills to make an impact

  • 1+ years of healthcare experience (working for a health plan, organization or provider)
  • 1+ years of administrative, telephonic customer service and/or healthcare experience
  • Must be able to work a shift, Monday -Friday 8:00 a.m. - 5:00 p.m. EST or CST
  • Excellent verbal and written communication skills
  • Comprehensive knowledge of Microsoft Word, Outlook, and Excel with the ability to type and enter data accurately, as well as the ability to quickly learn new systems

Preferred Qualifications

  • Associate’s degree
  • 1+ years of experience with Utilization Review and/or Prior Authorization, preferably with a managed care organization
  • Proficient utilizing electronic medical record and documentation programs
  • Proficient and/or have experience with medical terminology and/or ICD-10 codes

Additional Information

  • Hours for this role are Monday-Friday (8:00 a.m. - 5:00 p.m. EST/CST)

Interviewing Technology As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work At Home / Internet Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
  • Satellite, cellular and microwave connection can be used only if approved by leadership
  • 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.
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

SSN Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $37,200 - $51,200 per year Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Originally posted on LinkedIn

Apply now

Please let the company know that you found this position on our job board. This is a great way to support us, so we can keep posting cool jobs every day!

JuniorRemoteJobs.com logo

JuniorRemoteJobs.com

Get JuniorRemoteJobs.com on your phone!

SIMILAR JOBS
INFUSE logo

Client Success (Remote)

INFUSE
Just now
Administrative
Remote (UK)
Leamington Hastings, England, United Kingdom
CLIENT RELATIONSHIP MANAGEMENTCOMMUNICATIONINTERPERSONAL+3 more
Just now
Simpro Software logo

Customer Support Representative

Simpro Software
2 days ago
Administrative
Remote (Australia)
Eight Mile Plains, Queensland, Australia
CUSTOMER SERVICECOMMUNICATIONPROBLEM SOLVING+3 more
Persona logo

Virtual Assistant (Work From Home)

Persona
2 days ago
Administrative
Remote (EU)
Spain
ENGLISH FLUENCYAPP PROFICIENCYDATA COLLECTION+2 more
Iowa Judicial Branch logo

Law Clerk II (01205)- Montana Supreme Court

Iowa Judicial Branch
6 days ago
Administrative
Remote (Australia)
Mount Helena, Western Australia, Australia
LEGAL RESEARCHWRITINGLEGAL ANALYSIS
Avenues Australia logo

NDIS Support Coordinator/Psychosocial Recovery Coach (Remote)

Avenues Australia
7 days ago
Administrative
Remote (Australia)
Melbourne, Victoria, Australia
NDISMENTAL HEALTHDISABILITY SERVICES+4 more