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Job Details

UM Administration Coordinator 2 One Weekend Day Required - Work at Home CO AZ NM Preferred

Company name
Humana Inc.

Location
Albuquerque, NM, United States

Employment Type
Full-Time

Industry
Work At Home, Call Center, Customer Service

Posted on
Jan 19, 2021

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Profile

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

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. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. This role will also support the Retro UM case work.

Required Qualifications

High School Diploma

1 or more years of administrative, call center or customer service experience

Excellent verbal and written communication skills

Comprehensive knowledge 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

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M

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

Must have flexibility with scheduling and work hours

Preferred Qualifications

Proficient utilizing electronic medical record and documentation programs

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

Prior member service or customer service telephone experience desired

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

Additional Information

Working requirements include one weekend-day as part of a routine schedule with a day off during the week. Business hours are 8am-6pm MST or PST. We ask for flexibility from applicants as these hours may change at a later time for business need.

The following policy applies ONLY to associates working in the state of Arizona: Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective April 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

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