UM Administration Coordinator

Humana Gold Plus Integrated is looking for UM Administration Coordinators to support both its Health Choice and MLTSS programs.

About the role

In this position, you will help create authorizations and work within defined parameters to identify expectations and quality standards but have some latitude over prioritization and timing. You will report to the Supervisor, UM Administration. As a UM Administration Coordinator, you will contribute to the administration of care management by providing non-clinical support to help in the assessment and evaluation of members' needs. Tasks include administrative, operational, and customer support assignments.

This is a hybrid home position, requiring work in our Schaumburg, Illinois office 1 day per month.

Responsibilities

• Provide non-clinical support for care management administration
• Assist in the assessment and evaluation of members' needs
• Handle administrative, operational, and customer support tasks
• Create authorizations within defined parameters

Requirements

• Must reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois
• 2+ years of administrative support experience in the healthcare industry
• 1+ years of customer service experience
• Prior billing/claims or authorization experience

Qualifications

• Associates degree or higher (preferred)
• Experience with Medicaid, Long-term Care, or Medicare members (preferred)
• Proficient using electronic medical record and documentation programs (preferred)
• Experience with medical terminology and ICD-10 codes (preferred)
• Experience with Utilization Review and Prior Authorization within a managed care organization (preferred)

Schedule

Work hours will be Monday-Friday 8am-5pm CST with flexible scheduling (occasional nights and weekends). Scheduled weekly hours: 40.

Pay

The pay range 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 vary based on geographic location and individual pay will depend on demonstrated job-related skills, knowledge, experience, education, and certifications.

$44,000 - $57,500 per year

Benefits

Humana offers competitive benefits that support whole-person well-being, including:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

About Us

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.