• Job Description

  Req#: R-330101

  Become a part of our caring community and help us put health first
  

  The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs basic administrative, clerical, operational, customer support, and computational tasks working on semi-routine and patterned assignments.

  The UM Administration Coordinator 2 provides non-clinical support, following established policies and procedures ensuring best and most appropriate treatment, care, or services for members.

  • Prepares and forwards authorization request to clinical review

  • Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing, and works under minimal direction.

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

  Key Responsibilities:

  • Completes 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 and send out written correspondence

  • Ability to multitask and prioritize

  • Collaborate with multiple roles/departments/providers/team members

  
  Use your skills to make an impact
  

  Required Qualifications

  • Minimum 1 year healthcare or clinical experience (working for a health plan, organization, or provider)

  • Excellent verbal and written communication skills

  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment.

  
  Preferred Qualifications

  • Proficient utilizing electronic medical record and documentation programs

  • Prior member service or customer service telephone experience desired

  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

  • Clerical support background in a healthcare environment

  • Familiarity with medical terminology and/or ICD-10 codes

  • CNA or Medical Assistant background a plus

  Additional Information

  Workstyle: Remote work at home

  Location: INDIANA

  Alternate Locations: United States

  Training Schedule: Must be able to attend training schedule. Monday through Friday; 8:00 AM - 5:00 PM Central Time

  Work Schedule: The department has multiple schedules available:

  • Monday through Friday 8:00 AM - 5:00 PM Central with rotating holiday and weekend rotations

  • Saturday through Wednesday 8:00 AM – 5:00 PM Central time with rotating holidays

  • Friday through Tuesday 8:00 AM – 5:00 PM Central time with rotating holidays

  • Sunday through Thursday 8:00 AM – 5:00 PM Central time with rotating holidays

  Travel: Minimal travel for office meetings 1-2 times annually

  Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

  • Satellite, cellular and microwave connection can be used only if approved by leadership

  • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

  Interview Format

  As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Modern Hire Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

  If you are selected for a first-round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn’t missed) inviting you to participate in a Modern Hire Voice interview. In this interview, you will listen to a set of interview questions over your phone, and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

  If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

  SSN Alert

  Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

  Benefits

  Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
  
  Health benefits effective day 1; Paid time off, holidays, volunteer time and jury duty pay; Recognition pay; 401(k) retirement savings plan with employer match; Tuition assistance; Scholarships for eligible dependents; Parental and caregiver leave; Employee charity matching program; Network Resource Groups (NRGs); Career development opportunities

  #L1-Remote

  Scheduled Weekly Hours

  40

  
  About us
  

  Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

  
  Equal Opportunity Employer

  It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

• About the company

  Humana looks at every facet of your life and works with you to create a path to health that fits your unique needs

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