87 applicants

Company

Humana · 11 hours ago

Utilization Management Coordinator

Remote Florida

Full-time

Remote

Entry Level

$37K/yr - $51K/yr

1+ years exp

Maximize your interview chances

Health CareHealth Insurance

H1B Sponsor Likely

Insider Connection @Humana

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Contributes to administration of utilization management.

Performs varied activities and moderately complex administrative/operational/customer support assignments.

Performs computations.

Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.

Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

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.

Administrative experienceMS OfficeElectronic medical recordsManaged care experienceMedical terminologyICD-10 codesUtilization ReviewPrior AuthorizationCustomer service experience

Required

Minimum 1-year administrative experience in a healthcare field.

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

Managed care experience

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

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

Medical, dental and vision benefits

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

Represents job field similar to this job

Trends of Total Sponsorships

2023 (217)

2022 (257)

2021 (258)

2020 (107)