at Humana in Rogers, Arkansas, United States
The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
Job Title: UM Administration Coordinator-Variable Staffing Pool
Location: Work From Home – Any State
Schedule: (8) hour shift between the hours of Mon-Fri 7:00am – 11:00pm EST and weekends 7:00am-6:30pm EST
Job Description Summary
Would you like to WORK FROM HOME? Would you like to be an advocate and make a difference for others? Join us and experience a supportive team environment! The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.
The UM Administration Coordinator 1 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
+ Administrative or technical support experience
+ 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
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Home Office: A dedicated secure home workspace, and high-speed internet DSL or Cable modem with a minimum connection speed of 10m x 1m (Satellite internet service is NOT allowed for this role)
+ Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test
+ Proficient utilizing electronic medical record and documentation programs
+ Proficient and/or experience with medical terminology and/or ICD-10 codes
+ High School Diploma or Bachelor’s Degree in Business, Finance or a related field
+ Prior member service or customer service telephone experience desired
+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
+ Fluency in Spanish
Scheduled Weekly Hours
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