UM Administrative Coordinator 2

Profile

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

High School Diploma

1 or more years administrative, clerical or technical support experience

1 or more years Call Center or Customer Service experience

Excellent verbal and written communication skills

Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M

A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Work Schedule: Tuesday - Saturday 8am - 5pm ET

Preferred Qualifications

Proficient utilizing electronic medical record and documentation programs

Proficient and/or 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 desired

Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Bilingual in Spanish preferred

Additional Information

Must reside within Miami-Dade or Broward County and be within driving distance to office in Doral, FL

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com