UM Administration Coordinator 2 - Remote (Northeast Region)
Company: Humana Inc.
Location: Nashville
Posted on: June 25, 2022
|
|
Job Description:
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.
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
40
Keywords: Humana Inc., Nashville , UM Administration Coordinator 2 - Remote (Northeast Region), Other , Nashville, Tennessee
Click
here to apply!
|