Utilization & Disease Management Administration Coordinator – Queue Management
Location
Florida + 4 moreAll locations: Florida, Kansas, Kentucky, Nevada, Texas
Posted
22 hours ago
Salary
$40K - $52.3K / year
Bachelor Degree1 yr expEnglish
Job Description
• contribute to administration of utilization management
• performs varied activities and moderately complex administrative/operational/customer support assignments
• processes incoming Referrals /Authorizations based on the Humana Prior Auth List and Internal Processes
• assists clinical staff with requesting medical records by phone/fax/EMR
• follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion
Job Requirements
- 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
- 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
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
- 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
- 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
- many other opportunities
