Appeals Back End UM Admin Coordinator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $39k - $49.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔙 Backend Engineer

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ 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.

📋 Description

• Provide administrative support for utilization management programs and processes • Review, process, and maintain information and records accurately and in a timely manner • Coordinate communications with internal teams and external stakeholders • Support operational activities that facilitate appropriate care and service delivery for members • Follow established policies, procedures, and work instructions • Prioritize workload, maintain quality standards, and meet performance expectations • Collaborate with team members to support departmental and business objectives • Perform work under general supervision, exercising judgment within established guidelines

🎯 Requirements

• Experience providing administrative, operational, customer service, or technical support in a professional environment • Strong verbal and written communication skills • Proficiency with Microsoft Office applications, including Word, Excel, and Outlook • Ability to learn new systems and technologies • Ability to work independently in a remote environment • Reliable internet connection meeting company requirements: minimum 25 Mbps download and 10 Mbps upload • Strong organizational skills and attention to detail • Ability to manage multiple priorities in a fast-paced setting • Commitment to exceptional service and improving customer and member experiences • Experience using electronic medical record (EMR), healthcare documentation, or case management systems preferred • Familiarity with medical terminology, healthcare coding, or ICD-10 classifications preferred • Associate's or bachelor's degree in Business, Healthcare Administration, Finance, or a related field preferred • Prior customer service, member service, or call center experience preferred • Experience supporting Utilization Management, Prior Authorization, Care Management, or related healthcare operations, preferably within a health plan or managed care environment

🏖️ Benefits

• Medical, dental and 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 • Telephone equipment appropriate to meet business requirements • Bi-weekly internet expense payment for employees who live and work from Home in California, Illinois, Montana, or South Dakota