Humana

Administration Coordinator, Claims, UR, PA

Humana

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $40,000 - $52,300 per year

About the role

  • contributes to administration of utilization management
  • performs varied activities and moderately complex administrative/operational/customer support assignments
  • provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
  • decisions focus on interpretation of area/department policy and methods for completing assignments
  • works within defined parameters to identify work expectations and quality standards
  • has some latitude over prioritization/timing
  • works under minimal direction
  • follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Requirements

  • 2+ years administrative or similar job experience
  • 2 + years of claims experience
  • 2+ years' experience with Utilization Review and/or Prior Authorization, within a managed care organization
  • 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.
  • 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.
Benefits
  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
administrative supportclaims experienceutilization reviewprior authorizationmedical terminologyICD-10 codeselectronic medical recorddocumentation programs
Soft Skills
verbal communicationwritten communicationcustomer servicedecision makingprioritizationindependent discretion