Remote Utilization Management Admin Coordinator

Humana; Frankfort (KY); 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

Parental and caregiver leave

Short-term and long-term disability

Life insurance

Job summary

Humana is seeking an UM Administration Coordinator to support UM operations remotely. The role involves provider/member-facing calls, back-office tasks, and collaboration with clinical teams. Schedule includes 8-hour shifts with weekend work and holidays; training is provided the first month.

Responsibilities include handling prior authorizations, documenting cases, and ensuring timely processing while maintaining service levels. Strong attendance, professionalism, and adaptability are essential.

Qualifications

• Minimum of 2 years of customer service experience.
• Experience handling 30–50 calls daily across multiple systems while assisting callers.
• Typing speed of at least 30 words per minute.

Responsibilities

• Handle inbound and outbound calls about prior authorizations, utilization management services, and benefits.
• Process and review prior authorization requests and documentation for medical necessity determinations.
• Perform back-office administrative tasks, including case research and record updates.

Skills

Customer service

High-volume calls

Typing 30 wpm

Microsoft Office

Home office

Wired internet

Tools

EMR software

Job description

Humana is seeking an UM Administration Coordinator to support UM operations remotely. The role involves provider/member-facing calls, back-office tasks, and collaboration with clinical teams. Schedule includes 8-hour shifts with weekend work and holidays; training is provided the first month.

Responsibilities include handling prior authorizations, documenting cases, and ensuring timely processing while maintaining service levels. Strong attendance, professionalism, and adaptability are essential.