[Remote] Behavioral Health Utilization Management Administration Coordinator

Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The Behavioral Health Utilization Management Administration Coordinator provides non-clinical administrative and customer support for utilization management, including preparing authorization requests, documenting member records, coordinating with providers and internal teams, and sending correspondence.

Responsibilities

• Prepare and forward authorization request to clinical review
• Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Complete inbound and outbound provider calls to answer UM related questions and prepare authorization request for clinical review
• Document calls and attach clinical information to the member’s medical record
• Create and send out written correspondence
• Ability to multitask and prioritize
• Collaborate with multiple roles/departments/providers/team members

Skills

• Minimum 1 year administrative experience in 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 and ability to troubleshoot and resolve basic technical difficulties in a remote environment
• Proficient utilizing electronic medical record and documentation programs
• Prior member service or customer service telephone experience desired
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Clerical support background in a healthcare environment
• Familiarity with medical terminology and/or ICD-10 codes

Benefits

• Remote work at home
• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off, including paid time off, company and personal holidays, paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance

Company Overview

Company H1B Sponsorship