Remote Utilization Management Coordinator

Humana, Inc.; Helena (MT); Remote; USD 40,000 - 52,000; Full time

Job summary

Humana, Inc. is seeking an UM Administration Coordinator to support utilization management operations from a remote setting. You will handle provider/member phone support, process prior authorizations, and perform back-office administration, reporting to the Supervisor, UM Management.

The role requires adapting to schedule shifts and participating in training. Responsibilities include managing 30–50 calls daily, documenting interactions, and collaborating with clinical teams.

Qualifications

• 2+ years of customer service experience.
• Experience handling a high-volume of calls (30–50 daily).
• Typing proficiency of at least 30 words per minute.
• Proficient in Microsoft Office and navigating multiple systems.

Responsibilities

• Handle inbound/outbound calls about prior authorizations and benefits.
• Process and review prior authorization requests and documentation.
• Perform back-office administrative tasks and case research.
• Verify and enter information across multiple systems with proper documentation.
• Meet service levels and turnaround time for work queues.
• Collaborate with clinical and operational teams to resolve escalated issues.

Skills

Customer service

Phone handling

Typing 30 wpm

Wired internet connection

Tools

Microsoft Office

EMR systems

Job description

Humana, Inc. is seeking an UM Administration Coordinator to support utilization management operations from a remote setting. You will handle provider/member phone support, process prior authorizations, and perform back-office administration, reporting to the Supervisor, UM Management.

The role requires adapting to schedule shifts and participating in training. Responsibilities include managing 30–50 calls daily, documenting interactions, and collaborating with clinical teams.