64 applicants

Company

Humana · 14 hours ago

UM Coordinator

Remote Wisconsin

Full-time

Remote

Entry Level

$37K/yr - $51K/yr

1+ years exp

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Responsibilities

Take inbound calls to engage members and/or providers to verify clinical information

Handle customer inquiries both telephonically and by fax

Learn how to maneuver our process flow to effectively handle customer requests

Provide excellence customer service to our customers

Document all call information according to standard operating procedures and attach clinical information when necessary

Use multiple systems, therefore the ability to maneuver multiple systems at one time is vital.

Identify and escalate issues

Thrives in a fast-paced environment where their day is planned and structured

Would thrive living out our values daily (Curious, Committed, Caring)

Ability to work with minimal supervision, take initiative, have strong analytical skills, and strong attention to detail

Must be able to navigate process flows and follow procedure documents

Able to retain important information and learn virtually

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Customer service experienceMultitasking across systemsMicrosoft Office proficiencyElectronic medical recordsUtilization Review experienceMedical terminologyDe-escalation skillsKeyboarding skillsLearn technologyFollow proceduresRetain information

Required

1 year or greater of administrative, technical support or customer service experience

Excellent verbal and written communication skills

Ability to effectively de-escalate challenging situations during calls

Capacity to multitask across various computer systems while engaging with providers

Quick aptitude for learning and navigating new technology systems and applications

Proficiency in Microsoft Office applications, including Word and Excel

Proficient keyboarding skills for data entry and documentation

A designated workspace that minimizes distractions and meets leadership approval

Must effectively manage personal responsibilities to ensure a professional work environment conducive to achieving performance goals

Availability to work any shift between 7 AM and 7 PM CST. After the training and adjustment phase, the permanent shift will be 10:30 AM to 7 PM CST

WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information