UM Administration Coordinator

Yesterday

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Logo of Humana

Humana

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

βš•οΈ Healthcare Insurance

πŸ“‹ Description

β€’ Contributes to administration of utilization management β€’ Performs varied activities and moderately complex administrative/operational/customer support assignments β€’ Provides non-clinical support for policies and procedures β€’ Works within defined parameters to identify work expectations and quality standards β€’ Follows standard policies/practices allowing for some opportunity for interpretation/deviation and/or independent discretion

🎯 Requirements

β€’ Minimum 1-year health care and/or health administrative experience β€’ Excellent verbal and written communication skills β€’ Proficient Microsoft Office Word, Excel, Outlook, navigating multiple systems and platforms β€’ Ability to troubleshoot and resolve basic technical difficulties in a remote environment β€’ Proficient utilizing electronic medical record and documentation programs (preferred) β€’ Experience with medical terminology and/or ICD-10 codes (preferred) β€’ Prior member service or customer service telephone experience desired (preferred) β€’ Behavioral health experience (preferred) β€’ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization (preferred)

πŸ–οΈ Benefits

β€’ Medical, dental and vision benefits β€’ 401(k) retirement savings plan β€’ Paid time off, including company and personal holidays β€’ Volunteer time off β€’ Paid parental and caregiver leave β€’ Short-term and long-term disability β€’ Life insurance β€’ Many other opportunities

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