UM Administration Coordinator

UM Administration Coordinator 2 page is loaded## UM Administration Coordinator 2locations:
Remote Florida time type:
Full time posted on:
Posted Todayjob requisition :
R-403226#
** Become a part of our caring community and help us put health first
** Humana Healthy Horizons in Florida is seeking a UM Administration Coordinator who will contribute to the administration of utilization management. The UM Administration Coordinator performs advanced administrative/operational/customer support duties that require independent initiative and judgment.

The UM Administration Coordinator:
* Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
* Decisions are typically focused on methods, tactics and processes for completing administrative tasks/projects.
* Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques.
* Works under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.#
** Use your skills to make an impact
**** Required Qualifications
*** 2 or more years of administrative or technical support experience.
* Proficiency in MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
* Experience utilizing electronic medical record and/or documentation programs.
* ACHA Level II Background Check is required.
** Preferred Qualifications
*** Prior member service or customer service telephone experience.
* Proficiency 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:**
* ** Workstyle:
** Home. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
* *
* Work Location:

** must reside in the state of Florida.
* ** Typical work days/hours:
** Monday – Friday, 8:30 am – 5:00 PM EST
** WAH Internet Statement
** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
* 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.
* Employees 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 employees 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.
** Hire Vue
* * As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
** Scheduled Weekly Hours
** 40
* * Pay Range
** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$40,000 - $52,300 per year
** Description of Benefits
** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life…