UM Administration Coordinator 4

Company: Humana
Location: Louisville
Posted on: November 16, 2023

Job Description:

DescriptionThe UM Administration Coordinator 4 contributes to administration of utilization management. The UM Administration Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.ResponsibilitiesThe UM Administration Coordinator 4 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.

• Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals,
• and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.
• Works within broad guidelines with little oversight.Required Qualifications
  • Minimum 2 years administrative experience including high call volume, and heavy front/back-office support.
  • Minimum 1 year Utilization Administrative experience
  • Excellent verbal and written communication skills
  • Proven ability as a mentor, trainer, quality coaching, or preceptor
  • Proven ability to prioritize tasks and manage timelines to meet business needs
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems
  • Proficient utilizing authorizations, pre-authorizations documentation and process programs
  • Proficient and/or experience with medical terminology and/or ICD-10 codes Preferred Qualifications
    • Associate s or Bachelor s degree
    • Prior member service or customer service telephone experience desired
    • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization Workstyle: KY Based - Hybrid - Minimum 1 day a week in Louisville KY Corporate office / OK Based - RemoteLocation: Must reside within reasonable commuting distance to Louisville, KY or Remote, OKSchedule:
      • Must be willing to work an 8-hour shift Monday through Friday 8:00 AM - 8:00 PM Eastern time zone
      • Rotating holidays and possible weekend coverage
      • Schedule will be provided in more detail by the department
      • Training/Start Date: January 29th 2024 Work at Home Requirements
        • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
        • Satellite, cellular and microwave connection can be used only if approved by leadership.
        • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
        • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
        • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Additional Information Our Benefits Health benefits effective day 1. Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
          • Paid time off, holidays, volunteer time and jury duty pay, Recognition pay.
          • 401(k) retirement savings plan with employer match.
          • Tuition assistance, Scholarships for eligible dependents.
          • Parental and caregiver leave.
          • Employee charity matching program.
          • Network Resource Groups (NRGs).
          • Career development opportunities. Interview FormatAs part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire/Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Social Security TaskAlert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from with instructions to add the information into the application at Humana's secure website. Scheduled Weekly Hours40

Keywords: Humana, Louisville , UM Administration Coordinator 4, Other , Louisville, Kentucky