UM Administration Coordinator-2

Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, operational, customer support, and computational tasks working on semi-routine and patterned assignments. The UM Administration Coordinator 2 provides non-clinical support, following established procedures ensuring best treatment, care, or services for members.

• Prepare and forwards authorization request to clinical review
• Work within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing, and works.
• Must be passionate about contributing to an organization focused on improving consumer experiences.

Key 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

Required QualificationsUse your skills to make an impact

• 1 or more years administrative or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems
• 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

Preferred Qualifications

• Proficient using electronic medical record and documentation programs
• Proficient and experience with medical terminology and/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

Additional InformationThis job is M-F with one Saturday shift per month for two hours to meet our needs. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. 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. $40,000 - $52,300 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 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.