Remote Utilization Admin Coordinator – Healthcare Support

Humana Inc; Montpelier (VT); On-site; USD 40,000 - 52,000; Full time

Job summary

Humana Inc. is seeking a remote Utilization Management Administration Coordinator to support policies ensuring appropriate care for members.

Reporting to the Manager of Utilization Management, you will handle NLPs for chart reviews, build authorizations, and communicate with providers and members by phone to verify information and discharge status, documenting all interactions. This role within the Home Solutions organization partners with CenterWell and Onehome, offering opportunities to

Qualifications

• 1+ years' experience working in an administrative support capacity.
• Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data.
• Ability to learn new systems (proficient to advanced).

Responsibilities

• You will manage NLP's for chart reviews for the nursing team
• You will build and pend authorizations for review
• You will perform inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day and will document completed calls and attach clinical information received.
• You will request clinical information from providers/facilities
• You will create written correspondence
• You will create and distribute determination letters
• And you will collaborate with multiple roles/departments/providers/team members

Skills

Administrative support

Data entry

Typing

Tools

Microsoft Word

Outlook

Excel

Job description

Humana Inc. is seeking a remote Utilization Management Administration Coordinator to support policies ensuring appropriate care for members.

Reporting to the Manager of Utilization Management, you will handle NLPs for chart reviews, build authorizations, and communicate with providers and members by phone to verify information and discharge status, documenting all interactions. This role within the Home Solutions organization partners with CenterWell and Onehome, offering opportunities to