Humana UM Administration Coordinator 2 in Doral, Florida

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. 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.

Required Qualifications

  • High School Diploma

  • Minimum 1 year administrative or technical support experience

  • Excellent verbal and written communication skills

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

  • Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M

Preferred Qualifications

  • Proficient utilizing electronic medical record and documentation programs

  • Proficient and/or experience with medical terminology and/or ICD-9, ICD-10 codes

  • Certified as a Medical Assistant, Nurse Assistant or any other relevant certificate

  • Associate's or 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

  • Bilingual English/Spanish - Proficiency to read, write and speak fluently - Language Proficiency Assessment may be required if skillset is requested by the business

Additional Information

Scheduled Weekly Hours

40

About Us

Equal Opportunity Employer

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