
10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ Healthcare Insurance
Healthcare ⢠Insurance ⢠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.
đĽ 0 minutes ago
đşđ¸ United States â Remote
đľ $39k - $49.4k / year
â° Full Time
đĄ Mid-level
đ Senior
đĽď¸ Administration
đŚ H1B Visa Sponsor
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10,000+ employees
Founded 1961
đĽ Healthcare
đĄď¸ Insurance
âď¸ Healthcare Insurance
Healthcare ⢠Insurance ⢠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.
⢠Support utilization management policies, procedures, and operations ⢠Assist with activities promoting appropriate member care and services ⢠Complete administrative tasks according to established guidelines and procedures ⢠Maintain accurate records and documentation ⢠Meet quality, productivity, and timeliness expectations ⢠Prioritize and complete assigned work within designated timeframes ⢠Follow departmental policies, compliance requirements, and performance standards ⢠Escalate issues outside established guidelines ⢠Collaborate with internal teams to support operational goals ⢠Perform work under close supervision and within defined processes
⢠Administrative or technical support experience ⢠Excellent verbal and written communication skills ⢠Strong attention to detail ⢠Strong typing and computer navigation skills ⢠Ability to manage multiple or competing priorities while using multiple computer applications simultaneously ⢠Passion for contributing to continuous improvement of consumer experiences ⢠High School diploma listed as a preferred qualification ⢠Previous contact center or related customer service experience with telephone experience desired ⢠Healthcare experience ⢠Proficiency with electronic medical record and documentation programs ⢠Proficiency in 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 ⢠Previous work-at-home experience ⢠Minimum home internet speed of 25 Mbps download and 10 Mbps upload ⢠Ability to work from a dedicated space without ongoing interruptions to protect PHI/HIPAA information
⢠Medical benefits ⢠Dental benefits ⢠Vision benefits ⢠401(k) retirement savings plan ⢠Paid time off ⢠Company holidays ⢠Personal holidays ⢠Paid parental leave ⢠Paid caregiver leave ⢠Short-term disability ⢠Long-term disability ⢠Life insurance ⢠Internet expense payment for employees who live and work from home in California, Illinois, Montana, or South Dakota ⢠Telephone equipment appropriate to business requirements ⢠HireVue interview scheduling flexibility
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