UM Administration Coordinator

Become a part of our caring community and help us put health first
 The UM Administration Coordinator 2 provides clerical support for the department. We are the beginning, middle and end of processes for utilization management. This role partners with leadership, Medical Directors, Nurses and with other team members.

Achieve your best at Humana. Join Us! The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.

Key Responsibilities:

• Attaching faxes for chart reviews for the nursing team

• Answering departmental phones as assigned

• Make outbound calls to engage providers to verify clinical information/discharge date and admission status

• Document calls and attach clinical information received

• Request clinical information from providers/facilities

• Create and send out written correspondence

• Ability to multitask and prioritize

• Creation and distribution of determination letters

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

Use your skills to make an impact
 

Required Qualifications

• 1 or more years’ experience working in an administrative support capacity in the healthcare industry

• Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately, as well as the ability to quickly learn new systems (proficient to advanced)

• Prior experience in a metric driven environment

Preferred Qualifications

• Proficient utilizing electronic medical record and documentation programs

• Proficient and/or experience with medical terminology and/or ICD-10 codes

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

Additional Information

• Hours for this role are: Monday – Friday, 8-hour shift will fall between the hours of 7:00am-7:00pm EST and a Saturday rotation may be required based on business needs  

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.

Work at Home / Internet Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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

• Employees who live and work from Home in …