Remote Utilization Management Coordinator

Humana, Inc.; Topeka (KS); 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 & holidays

Disability & life insurance

Job summary

Humana, Inc. is seeking an UM Administration Coordinator to support utilization management operations remotely. The role involves handling provider and member calls, processing authorizations, and performing back-office tasks.

Schedule includes 8-hour shifts with weekend and holiday rotation, plus mandatory training in CST mornings. Required 2+ years of customer service, ability to manage 30–50 daily calls, 30 WPM typing, and a wired internet connection.

Qualifications

• Minimum of 2 years of customer service experience.
• Experience handling a high volume of calls (30–50 daily) using multiple systems.
• Typing proficiency of at least 30 words per minute.
• Proficient use of Microsoft Office (toolbars, menus, features).
• A direct wired internet connection is required (Wi‑Fi not permitted).
• Dedicated, distraction-free workspace with webcam for meetings.

Responsibilities

• Handle inbound/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 data updates.
• Verify and enter accurate information across multiple systems, documenting interactions and findings.
• Complete and monitor work queues to meet service level and turnaround targets.
• Collaborate with clinical and operations teams to resolve issues and escalations.

Skills

Customer service

High-volume calls

Typing 30 wpm

Microsoft Office

Wired internet required

Dedicated workspace

Tools

Microsoft Office

Job description

Humana, Inc. is seeking an UM Administration Coordinator to support utilization management operations remotely. The role involves handling provider and member calls, processing authorizations, and performing back-office tasks.

Schedule includes 8-hour shifts with weekend and holiday rotation, plus mandatory training in CST mornings. Required 2+ years of customer service, ability to manage 30–50 daily calls, 30 WPM typing, and a wired internet connection.