Remote Prior Authorization Admin Coordinator

Humana; Wisconsin; On-site; USD 40,000 - 52,000; Full time

Job summary

Humana's Medicaid Utilization Management (UM) team is seeking an Administration Coordinator 2 to support the prior authorization process by managing clinical documentation and verifying member eligibility and benefits. This remote role offers an 8:00 AM–5:00 PM ET schedule and a chance to contribute to positive member outcomes.

Join a collaborative healthcare organization where you will enter data, maintain records, and assist with timely processing of requests while gaining exposure to

Qualifications

• One (1) or more years of administrative experience in a healthcare environment.
• Proficient in Microsoft Office applications, including Word, Excel, and Outlook, within a Windows-based environment.
• Comfortable learning and using new systems, tools, and technology.

Responsibilities

• Manage and organize documentation related to prior authorization requests, including clinical requests and receipt of clinicals.
• Maintain accurate records and ensure timely data entry into the clinical documentation system.
• Research participating status to ensure compliance with Humana policies.
• Verify member eligibility and benefits for prior authorization requests.

Skills

Administrative experience

Microsoft Office

Learn new systems

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Humana's Medicaid Utilization Management (UM) team is seeking an Administration Coordinator 2 to support the prior authorization process by managing clinical documentation and verifying member eligibility and benefits. This remote role offers an 8:00 AM–5:00 PM ET schedule and a chance to contribute to positive member outcomes.

Join a collaborative healthcare organization where you will enter data, maintain records, and assist with timely processing of requests while gaining exposure to