Remote Utilization Management Coordinator

Starrcohawaii; Honolulu (HI); 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

Life insurance

Job summary

Humana is seeking a remote UM Administration Coordinator to support utilization management operations, with an 8-hour shift structure and weekend coverage. You will handle prior authorizations by phone, review documentation, and complete back-office tasks while maintaining service levels.

The role requires strong organization, attention to detail, and comfort working from a dedicated home workspace. Training is provided, and benefits packages accompany a 40-hour workweek and competitive pay.

Qualifications

• Minimum of 2 years of customer service experience.
• Experience handling a high-volume of calls (approximately 30 to 50 daily) across multiple systems.
• Typing proficiency of at least 30 words per minute.
• Proficient with Microsoft Office (toolbars, menus, document retrieval).
• A dedicated wired internet connection is required (Wi‑Fi not permitted).

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, record updates, and error resolution.
• Review, verify, and enter accurate information across multiple systems; document interactions and case activities.
• Complete and monitor assigned work queues to meet SLAs and turnaround times.
• Collaborate with clinical and operational teams to resolve issues and address escalations.
• Maintain productivity, quality, service, and attendance as priorities.

Skills

Customer service

High-volume call handling

Typing 30 WPM

Microsoft Office proficiency

Remote work setup

Tools

Microsoft Office

Job description

Humana is seeking a remote UM Administration Coordinator to support utilization management operations, with an 8-hour shift structure and weekend coverage. You will handle prior authorizations by phone, review documentation, and complete back-office tasks while maintaining service levels.

The role requires strong organization, attention to detail, and comfort working from a dedicated home workspace. Training is provided, and benefits packages accompany a 40-hour workweek and competitive pay.