Humana

About Humana

 

Job Category:

Member Quality & Financials - Utilization Management

Country:

United States

Postal Code:

75014

Approximate Salary:

Not Specified

Position Type:

Full Time

UM Administration Coordinator 2

Humana - Irving, Texas

Posted: 09/6/2018

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

               

Required Qualifications

  • High School Diploma 
  • Minimum 1 year administrative or technical support experience 
  • Excellent verbal and written communication skills
  • Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environmentand an ability to quickly learn new systems 
  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M
  • Ability to type 50-55 wpm
  • Capacity to maintain confidentiality
  • Must have flexibility in your schedule, including weekends and overtime as business needs arise
  • Experience as a Pharmacy Technician or equivalent in retail, mail order, or hospital relating to brand/generic medication, reading sig codes, and calculating quantity

Preferred Qualifications

  • Bachelor's Degree in Business, Finance or a related field
  • Proficient utilizing electronic medical record and documentation programs
  • Proficient and/or experience with medical terminology and/or ICD-10 codes
  • Prior member service or customer service telephone experience desired
  • Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization 

Scheduled Weekly Hours

40

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