Administration Coordinator

🕒 il y a 4 jours

🇺🇸 États-Unis – Télétravail

💵 $40 000 - $52 300 / an

⏰ Temps Plein

🟢 Junior

🖥️ Administrateur

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Humana

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1961

⚕️ Assurance santé

Healthcare Insurance

Humana est une entreprise de soins de santé dédiée à avoir un impact positif sur la santé des individus, des communautés et du système de santé dans son ensemble. En mettant la santé au premier plan, Humana sert une large gamme de populations diverses, y compris les seniors et les militaires, en proposant des plans Medicare Advantage HMO, PPO et PFFS. Humana s'engage à favoriser une culture d'appartenance et de respect mutuel, offrant des avantages compétitifs et flexibles pour assurer la sécurité financière de ses employés et de leurs familles. L'entreprise est fière de créer un environnement de travail inclusif où chacun a l'opportunité de réussir.

Description

• Accurately and efficiently process and enter authorization requests into the system. • Review care team submitted service requests and validate required documentation before processing. • Coordinate follow-up with the care team for missing or additional required information. • Maintain detailed records of authorization approvals, denials, and modifications. • Collaborate with UM nurses and care teams to escalate requests requiring additional clinical review. • Monitor authorization timelines and turnaround times to prevent delays. • Serve as a liaison between providers, members, and internal teams, ensuring smooth communication regarding service approvals. • Identify potential discrepancies, errors, or inefficiencies and work proactively to resolve them. • Assist with training and onboarding of new team members as needed.

🎯 Exigences

• 1 or more years administrative or technical support experience • Excellent verbal and written communication skills • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment • 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 10Mx1M • Must be passionate about contributing to an organization focused on continuously improving consumer experiences • Proficient utilizing electronic medical record and documentation programs • Proficient and/or experience with medical terminology and/or ICD-10 codes • Bachelor's Degree in Business, Finance or a related field • Prior member service or customer service telephone experience desired • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

🏖️ Avantages

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • short-term and long-term disability • life insurance and many other opportunities