[Hiring] UM Administration Coordinator @Humana

Role Description

The UM Administration Coordinator contributes to administration of utilization management by performing varied activities and moderately complex administrative/operational/customer support assignments. Responsibilities include:

• Performing computations and working on semi-routine assignments.
• Providing non-clinical support for policies and procedures ensuring best and most appropriate treatment, care, or services for members.
• Making decisions focused on interpretation of area/department policy and methods for completing assignments.
• Working within defined parameters to identify work expectations and quality standards.
• Having some latitude over prioritization/timing and working under minimal direction.
• Following standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Qualifications

• 1 year of experience in an administrative or technical support role within a healthcare organization.
• Excellent verbal and written communication skills.
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows-based environment.
• Ability to quickly learn new systems.

Requirements

• Proficient utilizing electronic medical record and documentation programs.
• Proficient and/or experience with medical terminology and/or ICD-10 codes.
• Bachelor's Degree in Business, Finance, or a related field.
• Prior member service or customer service telephone experience desired.
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Benefits

• Competitive 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 and many other opportunities.

Company Description

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.