Prior Authorization UM Administration Coordinator - Remote

Overview

The UM Administration Coordinator 2 provides non-clinical support for ensuring best treatment and services for members, working closely with UM Nurses and various departments.

In Short

• Support UM Nurses in processing discharge orders.
• Document all calls and requests from healthcare providers.
• Process incoming fax/emails requests for services daily.
• Assist with various clerical and administrative tasks.
• Participate in special projects as assigned.
• Work Monday-Friday, 8am-5pm EST with one weekend a quarter.
• Utilize Microsoft Office Suite for documentation.
• Must live in CST or EST states.
• Occasional travel to Humana's offices may be required.
• Work from home with internet speed requirements.

Requirements

• 1+ years of experience with Utilization Review and/or Prior Authorization.
• 1+ years of Healthcare experience.
• Working knowledge of Microsoft Word, Excel, and Outlook.
• Bilingual English/Spanish preferred.
• Experience with medical terminology and/or ICD-10 codes.
• Proficient in documentation programs.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability insurance.
• Life insurance and additional opportunities.