UM Administration Coordinator

Become a part of our caring community 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. Prepare and forwards authorization request to clinical review Work within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing, and works. Must be passionate about contributing to an organization focused on improving consumer experiences.

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 Use your skills to make an impact Required Qualifications 1 or more years administrative or technical support experience 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. Must be passionate about contributing to an organization focused on improving consumer experiences Must reside in Indiana 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 Additional Information This job is M-F with one Saturday shift per month for two hours to meet our needs. Work at Home Requirements: 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 required; wireless, wired cable or DSL connection is suggested. 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. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below 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 be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness