About this job
Responsibilities
Achieve your best at Humana. Join Us! 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.
Key Responsibilities:
-
Attaching faxes for chart reviews for the nursing team
-
Answering departmental phones as assigned
-
Make outbound calls to engage providers to verify clinical information/discharge date and admission status
-
Document calls and attach clinical information received
-
Request clinical information from providers/facilities
-
Create and send out written correspondence
-
Ability to multitask and prioritize
-
Creation and distribution of determination letters
-
Collaborate with multiple roles/departments/providers/team members
Required Qualifications
-
1 or more years’ experience working in an administrative support capacity in the healthcare industry
-
Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data accurately, as well as the ability to quickly learn new systems (proficient to advanced)
-
Prior experience in a metric driven environment
Preferred Qualifications
-
Proficient utilizing electronic medical record and documentation programs
-
Proficient and/or experience with medical terminology and/or ICD-10 codes
-
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Additional Information
-
Hours for this role are: Monday – Friday, 8-hour shift will fall between the hours of 7:00am-7:00pm EST and a Saturday rotation may be required based on business needs
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Work at Home / Internet Statement
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 recommended; wireless, wired cable or DSL connection is suggested
-
Satellite, cellular and microwave connection can be used only if approved by leadership
-
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
-
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
-
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Scheduled Weekly Hours
This is an exciting company headquartered in a city with an excellent quality of life!
Senior Manager, MarketPoint Sales
![Bonnie](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.4_testimonial_Bonnie_headshot.jpg)
What I love most about Humana is the unlimited opportunity for growth and advancement.
Manager, Quality Engineering
Working at Humana has provided me the opportunity to reach across other areas of the company, as well as provided opportunities for personal and career growth.
Provider Contracting Professional
![Virginia_headshot](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.0_testimonial_Virginia_headshot.jpg)
When I saw how happy people were working here I wanted to be here. I knew Humana was going to be where I work 25 years and retire from.
Care Coach, Veteran
![Paul](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.2_testimonial_Paul.jpg)
I am proud to be part of a team that supports clinical growth and innovation.
Project Manager, Care Delivery
![Brittany](https://cdn-static.findly.com/wp-content/uploads/sites/1382/2020/10/1.1_testimonial_Brittany.jpg)
Request an Accommodation
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.
Employment Fraud Notice
Humana will never ask a candidate for money for work equipment and network access or request access to personal accounts during the application process. Learn more about identifying and preventing employment fraud or report a suspected employment fraud case.
California Resident Applicants
If you are a California resident applying for a position and would like to review our California Applicant Privacy Policy, click here: CA Resident Applicant Privacy Policy
Latest Administrative and Support Services Jobs
Latest Jobs
Upcoming Customer Care Events
Our Hiring Process
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/icon_IT.png)
Apply online
To be considered for a job, you must apply online. Unfortunately, we cannot accept resumes that have been emailed to us. Once you find a job that interests you, simply select “Apply.” It typically takes 15 minutes to fill out the application form. Be sure to update your resume and upload it as you cannot edit the resume or add it after the application has been submitted. Shortly after you submit your application, you will receive a confirmation.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/phone-interviews.jpg)
Next Step
If selected to continue with the interview process, you will be contacted through text or email to complete an assessment or schedule an initial live or recorded phone or video interview.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_icon_interview.png)
A hiring manager interview
After hiring managers and interview teams carefully consider the skills and experiences of applicants, they contact the top candidates via email or phone to schedule an interview.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/offer.jpg)
Offer from Humana
If you’ve successfully completed the interview process and are identified as the candidate we would like to hire, you will receive an offer from our Talent Acquisition team.
![](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_icon_onboarding.png)
Onboarding
If you accept the offer to join our Humana team, you will receive a welcome call or email to begin the onboarding process.
![hiring_images](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_images-combined.png)
![Hiring Process](https://cdn-static.findly.com/wp-content/uploads/sites/1290/2020/07/hiring_images-combined_mobile.png)