Remote Utilization Management Coordinator – Wisconsin

Humana, Inc.; Wisconsin; Remoto; USD 40.000 - 52.000; Tempo integral

Benefícios oferecidos por esta vaga

Remote work

Healthcare benefits

Paid time off

Resumo da vaga

Humana, Inc. is seeking a Utilization Management (UM) Coordinator for the Wisconsin Medicaid Market (iCare). This remote, full-time position supports non-clinical processes for prior authorization requests, provider contact, and documentation in TruCare.

The role operates 8:30am–5:00pm CST, Monday to Friday, with occasional holiday coverage. The ideal candidate has 1 year in a health care or health plan setting, plus 1–2 years in Microsoft Office and strong customer service experience.

Qualificações

• 1 year of experience in a health care setting or health plan setting.
• 1-2 years of experience using Microsoft Word, Excel, and PowerPoint.
• 1 year of customer service experience with inbound/outbound phone calls.
• Reside in the State of WI.

Responsabilidades

• Process and document all incoming prior authorization requests per Humana policies.
• Contact providers by phone or fax to request information per established process.
• Conduct inbound and outbound calls regarding PA status.
• Enter PA requests into the TruCare database and route to clinical staff.

Conhecimentos

Customer service

Microsoft Office

Phone communications

Prior authorization knowledge

Ferramentas

TruCare

Descrição da vaga

Humana, Inc. is seeking a Utilization Management (UM) Coordinator for the Wisconsin Medicaid Market (iCare). This remote, full-time position supports non-clinical processes for prior authorization requests, provider contact, and documentation in TruCare.

The role operates 8:30am–5:00pm CST, Monday to Friday, with occasional holiday coverage. The ideal candidate has 1 year in a health care or health plan setting, plus 1–2 years in Microsoft Office and strong customer service experience.