UM Administration Coordinator

Humana Inc; Illinois; Ibrido; USD 40.000 - 52.000; Tempo pieno

Descrizione del lavoro

Humana Gold Plus Integrated is seeking UM Administration Coordinators to support Health Choice and MLTSS programs. You will help create authorizations and provide non-clinical care management support within defined parameters to identify expectations and quality standards.

This is a hybrid home position with one in-office day per month at the Schaumburg, IL office. Work hours are Monday–Friday 8am–5pm CST with some flexibility, occasional nights and weekends.

Competenze

• 2+ years of administrative support experience in the healthcare industry.
• 1+ years of customer service experience.
• Prior billing/claims or authorization experience.

Mansioni

• Prepare authorizations and support administration of care management.
• Provide non-clinical support to assess and evaluate members' needs.
• Perform administrative, operational and customer-support tasks within defined parameters.

Conoscenze

Administrative support

Customer service

Billing/claims or authorization

Formazione

Associates degree or higher

Strumenti

Electronic medical record systems

ICD-10 codes

Descrizione del lavoro

Become a part of our caring community Humana Gold Plus Integrated is looking for UM Administration Coordinators to support both its Health Choice and MLTSS programs. In this position, you will help create authorizations, and work within defined parameters to identify expectations and quality standards but have some latitude over prioritization and timing. You will report to the Supervisor, UM Administration. As a UM Administration Coordinator, you will contribute to the administration of care management by providing non-clinical support to help in the assessment and evaluation of members' needs. Tasks include administrative, operational, and customer support assignments. This is a hybrid home position, requiring work in our Schaumburg, Illinois office 1 day per month. Work hours will be Monday-Friday 8am-5pm CST with flexible scheduling (occasional nights and weekends). Use your skills to make an impact.

Required Qualifications

• 2+ years of administrative support experience in the healthcare industry.
• 1+ years of customer service experience.
• Prior billing/claims or authorization experience.

Preferred Qualifications

• Reside in the Greater Chicago area/suburban Cook or nearby surrounding counties in the State of Illinois
• Associates degree or higher
• Experience with Medicaid, Long-term Care, or Medicare members
• Proficient using electronic medical record and documentation programs
• Experience with medical terminology and ICD-10 codes
• Experience with Utilization Review and Prior Authorization within a managed care organization

Work at Home Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.