UM Administration Coordinator – Kentucky Medicaid

🔥 0 minutes ago

🐎 Kentucky, Ohio, +2 more states – Remote

🐎 Kentucky – Remote 🏈 Ohio – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $40k - $52.3k / year

⏰ Full Time

🟢 Junior

🖥️ Administration

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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

• contribute to the administration of utilization management • perform varied activities and moderately complex administrative/operational/customer support assignments • provide non-clinical support for the policies and procedures ensuring best treatment, care or services for members • follow standard policies/practices that allow for some opportunity for interpretation/deviation • work within defined parameters to identify work expectations and quality standards

🎯 Requirements

• Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia. • One (1) or more years administrative or technical support experience. • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment. • Proficient using electronic medical record and documentation programs. • Proficient 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. • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

🏖️ Benefits

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