Humana

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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.

Administration Coordinator – Prior Authorizations

AdministrationAdministrationFull TimeRemoteTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

29 days ago

Salary

$40K - $52.3K / year

Bachelor Degree1 yr expEnglish

Job Description

• contributes to administration of utilization management. • performs varied activities and moderately complex administrative/operational/customer support assignments. • provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. • provides exceptional customer service to providers, including completing all necessary paperwork, documentation and forms; meet or exceed monthly individual and team goals. • acts in accordance with Humana's ethics and compliance policies and connects industry and regulatory changes to our strategy. • meets established expectations and takes responsibility for achieving results; encourages others to do the same. • employs focus, attention to detail, reliability, and appropriate prioritization to drive outcomes. • sees opportunities to contribute and takes the initiative to create solutions.

Job Requirements

  • 1+ years of administrative or technical support experience with a health plan, healthcare organization, or provider.
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems.
  • Excellent verbal and written communication skills.
  • Proficient utilizing electronic medical record and documentation programs
  • Proficient and/or experience with medical terminology and/or ICD-10 codes
  • Bachelor's Degree in Business, Finance or a related field
  • Prior member service or customer service telephone experience desired
  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Benefits

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance

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