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.
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
Proficient utilizing electronic medical record and documentation programs
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
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:
Medical, religious, state and remote-only work exemptions are available.
Scheduled Weekly Hours