UM Administration Coordinator

About the role

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.

Responsibilities

• Prepare and forwards authorization request to clinical review
• 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
• Work within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing

Required Qualifications

• 1 or more years administrative or technical support experience
• Must reside in Indiana
• Must be passionate about contributing to an organization focused on improving consumer experiences

Technical Requirements

• 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
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

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

Schedule

This job is M-F with one Saturday shift per month for two hours to meet our needs. Scheduled Weekly Hours: 40.

Pay

$40,000 - $52,300 per year.

Benefits

• 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

Additional Information

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary.