Remote UM Admin Coordinator: Chart Reviews & Authorizations

Humana Inc; United States; Remote; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Short-term and long-term disability,生命

Job summary

Humana Inc. is hiring for a Remote Utilization Management Administration Coordinator. This role supports non-clinical processes to ensure appropriate care for members, reporting to the Manager of Utilization Management.

You will work within Home Solutions, partnering with CenterWell and Onehome, and handle NLPs for chart reviews and provider communications. Responsibilities include building authorizations, obtaining clinical information, creating correspondence, and distributing letters, while

Qualifications

• 1+ years of experience in an administrative support role.
• Proficient with Microsoft Word, Outlook and Excel and able to enter data accurately.
• Ability to quickly learn new systems and processes.

Responsibilities

• Build and pend authorizations for review.
• Perform inbound and outbound calls to engage providers and members to verify clinical info, discharge date, and admission status.
• Request clinical information from providers or facilities.
• Create written correspondence and distribute determination letters.
• Collaborate with multiple roles, departments, providers, and team members.

Skills

Administrative support

Microsoft Word

Microsoft Excel

Outlook

Data entry

Tools

CGX

SRO

HCHB

EMR

Job description

Humana Inc. is hiring for a Remote Utilization Management Administration Coordinator. This role supports non-clinical processes to ensure appropriate care for members, reporting to the Manager of Utilization Management.

You will work within Home Solutions, partnering with CenterWell and Onehome, and handle NLPs for chart reviews and provider communications. Responsibilities include building authorizations, obtaining clinical information, creating correspondence, and distributing letters, while