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UM Administration Coordinator 2 - Remote (Northeast Region)

Company: Humana Inc.
Location: Nashville
Posted on: June 25, 2022

Job 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.


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.

Key Responsibilities:

* Attaching faxes for chart reviews for the nursing team
* Answering departmental phones as assigned
* Make outbound calls to engage members and/or providers to verify clinical information/discharge date and admission status
* Document calls and attach clinical information received
* Request clinical information from providers/facilities
* Create and send out written correspondence
* Ability to multitask and prioritize
* Collaborate with multiple roles/departments/providers/team members

Required Qualifications

* 1 or more years of administrative support experience
* Excellent verbal and written communication skills
* Must be passionate about contributing to an organization focused on continuously improving consumer experiences
* Strong attention to detail and excellent organizational 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

Preferred Qualifications

* Proficient utilizing electronic medical record and documentation programs
* Proficient and/or experience with medical terminology and/or ICD-10 codes
* Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Work-At-Home Requirements

* WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense
* A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required
* Satellite and Wireless Internet service is NOT allowed for this role
* A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information

* Hours for this role are: Monday - Friday 9:00am-6:00pm EST with a Saturday rotation

Scheduled Weekly Hours


Keywords: Humana Inc., Nashville , UM Administration Coordinator 2 - Remote (Northeast Region), Other , Nashville, Tennessee

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