Be an early applicantLess than 25 applicants

Company

Humana · 2 hours ago

Administration Coordinator for Utilization Management (9AM-6PM EST) - Southeast Region

Georgia, United States

Full-time

Remote

Entry Level

$37K/yr - $51K/yr

1+ years exp

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Health CareHealth Insurance

H1B Sponsor Likely

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Responsibilities

Triage internal and external phone calls appropriately.

Communicate with providers to notify of urgent appeal request and determinations, request clinical information and coordinate case dispute reviews etc.

Review and attach clinical information to authorizations.

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.

MS OfficeAdministrative experienceCustomer service experienceTight deadlines experienceElectronic medical recordsMedical terminologyMember service experienceUtilization ReviewPrior AuthorizationICD-10 codes

Required

1+ years administrative or customer service experience

Excellent verbal and written communication skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Advanced knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems

Proven experience working with tight deadlines/timeframe in an ever changing environment

Preferred

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

Benefits

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

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

10,001+ 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

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Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)