Humana Looking For UM Administration Coordinator 2 (Tuesday to Saturday Schedule)– 100% REMOTE at Tampa, 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. 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.

Required Qualifications

• High School Diploma or equivalent
• 2 or more years within the Medical Field or Customer Service 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
• 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 25×10

Work shift will be in Eastern Time Zone Tuesday to Saturday | 8AM-5PM EST. Some overtime might be required, depending on business needs.

Preferred Qualifications

• STRONGLY PREFERRED: Bilingual (English & Spanish)
• A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information
• 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.

Scheduled Weekly Hours

40

Not Specified

0