UM Administration Coordinator 2 - Work at Home at Humana

Posted in Other 5 days ago.

Location: Springfield, Missouri





Job Description:



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 years of administrative, customer service or healthcare 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

  • Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required


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


Additional Information



  • Hours for this role are: Monday-Friday 8am-5pm CST




Scheduled Weekly Hours




40