UM Administration Coordinator 2 (Schedule: Monday - Friday) - Miami, FL
Humana

Miami, Florida

Posted in Insurance


This job has expired.

Job Info


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 or equivalent.
  • 1 or more years 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 environment and an ability to quickly learn new systems.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
  • Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) is required.
  • A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information
  • Work Schedule: Monday - Friday from 8a - 5pm.
Preferred Qualifications
  • 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.
  • Bilingual a plus (English, Spanish).
Additional Information

Work Schedule: Monday - Friday from 8a - 5pm.

As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40


This job has expired.

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