Remote Utilization Management Coordinator — Healthcare Support

Mindlance; United States; Remote; USD 28,000 - 34,000; Full time

Job summary

Humana is seeking a remote Utilization Management Administration Coordinator 2 to support provider inquiries, authorizations, and access to care. This hourly, work-from-home role includes weekend/holiday shifts and a training period 8:00 AM–4:30 PM CST for the first month, with potential for permanent hire based on performance.

Responsibilities include handling 30–50 inbound calls daily, guiding callers through UM processes, ensuring accuracy and compliance, and navigating multiple systems to

Qualifications

• Minimum of 2 years of customer service experience, preferably within healthcare.
• Ability to manage a high-volume call environment, handling approximately 30 to 50 calls daily.
• Typing proficiency of at least 30 words per minute.
• Ability to learn and retain complex information through virtual training.
• Comfortable following detailed multi-step procedures while maintaining accuracy.
• Analytical, problem-solving, and organizational skills.

Responsibilities

• Manage prior authorization inquiries and requests from healthcare providers.
• Handle approximately 30 to 50 inbound calls per day in a fast-paced, performance-based environment.
• Research and review information to determine whether requested services meet medical necessity guidelines.
• Assist providers in navigating the authorization process to help ensure members receive appropriate care while minimizing unnecessary out-of-pocket costs.
• Accurately document activities and maintain compliance with established procedures.
• Utilize multiple systems simultaneously while adhering to detailed process flows.
• Potentially support member calls as business needs evolve.
• Meet productivity, quality, and customer service expectations.

Skills

Customer service

Call handling

Typing 30 wpm

Microsoft Office

Analytical skills

Independent work

Written communication

Attention to detail

Problem solving

Healthcare knowledge

Multi-system navigation

Tools

Microsoft Office

EMR systems

Job description

Humana is seeking a remote Utilization Management Administration Coordinator 2 to support provider inquiries, authorizations, and access to care. This hourly, work-from-home role includes weekend/holiday shifts and a training period 8:00 AM–4:30 PM CST for the first month, with potential for permanent hire based on performance.

Responsibilities include handling 30–50 inbound calls daily, guiding callers through UM processes, ensuring accuracy and compliance, and navigating multiple systems to