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Coordinator UM Administration
Dover, DE
Apply Now >
UM Administration Coordinator 2 - Remote Weekend Shift - Friday-Monday
Company name
Humana Inc.
Location
Dover, DE, United States
Employment Type
Full-Time
Industry
Administrative, Customer Service
Posted on
Apr 15, 2022
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
Achieve your best at Humana. Join Us! 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.
Key Responsibilities:
Attaching faxes for chart reviews for the nursing team
Answering departmental phones as assigned
Make outbound calls to engage members and/or providers to verify clinical information/discharge date and admission status
Document calls and attach clinical information received
Request clinical information from providers/facilities
Create and send out written correspondence
Ability to multitask and prioritize
Collaborate with multiple roles/departments/providers/team members
Required Qualifications
1 plus years of administrative or customer service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Comprehensive knowledge of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately, as well as the ability to quickly learn new systems
Preferred Qualifications
Proficient utilizing electronic medical record and documentation programs
Proficient and/or experience with medical terminology and/or ICD-10 codes
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Work-At-Home Requirements
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense
A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required
Satellite and Wireless Internet service is NOT allowed for this role
A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Additional Information
Hours for this role are: Friday-Monday 4x10 shift. Hours are flexible
Scheduled Weekly Hours
40
Company info
Humana Inc.
Website : http://www.humana.com
Location : Dover, DE
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