Administration Coordinator

November 25

Apply Now

Receive Emails with Similar Jobs

Humana

WebsiteLinkedInAll Job Openings

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

📋 Description

• Provides clerical support for the department • Partners with leadership, Medical Directors, Nurses and with other team members • Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members • Manages NLP's for chart reviews for the nursing team • Builds and pends authorizations for review • Responsible for inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day • Documents calls and attaches clinical information received • Requests clinical information from providers/facilities • Creates and sends out written correspondence • Creates and distributes determination letters • Collaborates with multiple roles/departments/providers/team members

🎯 Requirements

• 1+ years’ experience working in an administrative support capacity • Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately • Ability to quickly learn new systems (proficient to advanced) • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization • 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 SNF and/or Home Health • Prior experience with CGX, SRO and HCHB • Prior experience in a metric driven environment • Prior experience in the healthcare industry

🏖️ Benefits

• Medical Benefits • Dental Benefits • Vision Benefits • Health Savings Accounts • Flex Spending Accounts • Life Insurance • 401(k) • PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time • And more