UM Administration Coordinator

at Humana in Boise, Idaho, United States Job Description Become a part of our caring community Humana Healthy Horizons in Kentucky is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. Reporting to the UM Behavioral Manager, you will perform varied activities and moderately complex administrative/operational/customer support assignments as well as perform computations and work on semi-routine assignments.

UM Adm Coord Responsibilities:

o Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. o Decisions are typically focused on interpretation of area/department policy and methods for completing assignments. o Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing o Works under minimal direction o Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Use your skills to make an impact Required Qualifications o 1 or more years administrative, customer service or technical support experience o Excellent verbal and written communication skills o Working knowledge of Word, Excel, and Outlook in a Windows-based environment and an ability to quickly learn new systems o Can attend 4-week training process with no absences Preferred Qualifications o Proficient utilizing electronic medical record and documentation programs o Proficient and/or experience with medical terminology and/or ICD -10 codes o Bachelor's Degree o Prior member service or customer service telephone experience o Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Additional Information Workstyle:

Remote Nationwide Work Hours:

8 - 4:30 EST with occasional weekends as business needs dictate

Interview Format:

As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule .

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per w To view full details and how to apply, please login or create a Job Seeker account