[Remote] Behavioral Health Utilization Management Administration Coordinator
Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The Behavioral Health Utilization Management Administration Coordinator provides non-clinical administrative and customer support for utilization management, including preparing authorization requests, documenting member records, coordinating with providers and internal teams, and sending correspondence.
Responsibilities
- Prepare and forward authorization request to clinical review
- Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review
- Document calls and attach clinical information to the member’s medical record
- Create and send out written correspondence
- Ability to multitask and prioritize
- Collaborate with multiple roles/departments/providers/team members
Skills
- Minimum 1 year administrative experience in healthcare field
- Excellent verbal and written communication skills
- Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote environment
- Proficient utilizing electronic medical record and documentation programs
- Prior member service or customer service telephone experience desired
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
- Clerical support background in a healthcare environment
- Familiarity with medical terminology and/or ICD-10 codes
Benefits
- Remote work at home
- 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
Company Overview
Company H1B Sponsorship
