UM Administration Coordinator 2 - Remote (Northeast Region) at Humana

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Description

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.

Responsibilities

Achieve your best at Humana. Join Us! 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
  • Answering departmental phones as assigned
  • Make outbound calls to engage members and/or providers to verify clinical information/discharge date and admission status
  • Document calls and attach clinical information received
  • Request clinical information from providers/facilities
  • Create and send out written correspondence
  • Ability to multitask and prioritize
  • Collaborate with multiple roles/departments/providers/team members


Required Qualifications
  • 1 or more years of administrative support experience
  • Excellent verbal and written communication skills
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Strong attention to detail and excellent organizational 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
  • 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


Work-At-Home Requirements
  • WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense
  • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required
  • Satellite and Wireless Internet service is NOT allowed for this role
  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information


Additional Information
  • Hours for this role are: Monday-Friday 7am-7pm EST based on business needs, with a Saturday rotation. (The candidate's 8 hour shift will fall between this timeframe)


Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

Scheduled Weekly Hours

40
More Information on Humana
Humana operates in the Healthtech industry. The company is located in Louisville, KY and Chicago, IL. Humana was founded in 1961. It has 40741 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 59 open jobs at Humana, click here.
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