Be an early applicantLess than 25 applicants

Company

Humana · 1 day ago

UM Administration Coordinator 2

Remote Florida

Full-time

Remote

Entry Level

$40K/yr - $52K/yr

1+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Support the UM Nurses to process discharge orders and arrange a safe facility discharge.

Work with UM Nurses, Pharmacy, Medical Directors and other Departments.

Make calls to UM Nurses, Hospitals, Skilled Nursing Facilities and other vendors.

Document all calls and requests.

Search for Medicare and Medicaid Guidelines.

Process all incoming fax/emails request for services the same day.

Return call for all voice messages received the same day.

Process provider and member letters (Letter of Agreements, Approvals, Denials etc.).

Mail letters to members.

Assist the team with various clerical/administrative tasks as necessary.

Participate in special projects as assigned by your Supervisor or Manager.

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.

Healthcare experienceTelephonic Customer ServiceMicrosoft WordMicrosoft ExcelMicrosoft OutlookBilingual English/SpanishCarePlus PlatformMedical terminologyICD-10 codesDocumentation programsMember serviceUtilization ReviewPrior Authorization

Required

1 or more years of Administrative support experience

1 or more years of Healthcare experience

1 or more years of telephonic Customer Service experience

Working knowledge of Microsoft Word, Excel, and Outlook.

Monday-Friday 8am-5pm EST, must have ability to work Nights, Weekends and Holidays based on business needs.

Preferred

Bilingual English/Spanish able to speak, read and write in both languages without limitations or assistance.

Proficient utilizing documentation programs.

Experience with the CarePlus Platform.

Proficient and/or experience with medical terminology and/or ICD-10 codes.

Member service

Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.

Benefits

Medical, dental and vision benefits

401(k) retirement savings plan

Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)

Short-term and long-term disability

Life insurance

Company

Humana

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)