Humana Looking For UM Administration Coordinator 2 – Doral Office at Miami, FL Full Time

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

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

Will handle requests from the provider side (doctors, primary care physicians, specialists, etc.).

Decisions are typically focused 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.

Required Qualifications

3 + years of customer service experience in healthcare or medical field

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

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

Schedule may be Monday-Friday or Tuesday – Saturday, rotating weekends and overtime, pending business needs

In office position located in Miami, Florida

Preferred Qualifications

Bachelor’s Degree

Proficient utilizing electronic medical record and documentation programs

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

Additional Information

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #Miami

For this job, associates are required to be fully COVID vaccinated, including booster (preferred) or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

• Provide proof of full vaccination or commit to testing protocols OR
• Provide proof of applicable exemption including any required supporting documentation

Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40