71 applicants

Company

Humana · 3 hours ago

Utilization & Disease Management Administration Coordinator - Census Management

Remote Florida

Full-time

Remote

Entry Level

$40K/yr - $52K/yr

1+ years exp

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H1B Sponsor Likely

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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

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 administrative experienceHMO experienceMS Office proficiencyElectronic medical recordsMedical terminologyICD-10 codesUtilization Review experiencePrior Authorization experienceCustomer service experienceMultitasking ability

Required

1 or more years healthcare administrative or technical support experience

Current or past HMO 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

Preferred

Proficient utilizing electronic medical record and documentation programs

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

Bachelor’s degree in Business, Finance or a related field

Prior member service or customer service telephone experience desired

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

Benefits

Health benefits effective day 1

Paid time off, holidays, volunteer time and jury duty pay

Recognition pay

401(k) retirement savings plan with employer match

Tuition assistance

Scholarships for eligible dependents

Parental and caregiver leave

Employee charity matching program

Network Resource Groups (NRGs)

Career development opportunities

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)