Administration Coordinator

This is a fully remote position, open to applicants in Florida, +8 more states.

📋 Description

• Support the administration of utilization management.

• Execute a variety of administrative, operational, and customer assistance tasks.

• Conduct calculations as required.

• Offer non-clinical support for policies and procedures related to appropriate treatment, care, or services for members.

• Interpret departmental policies and methods for completing tasks.

• Recognize work expectations and quality standards within established parameters.

• Prioritize and schedule work with minimal supervision.

• Implement standard policies and practices with independent judgment.

• Work Monday through Friday from 8:00 AM to 5:00 PM Central Time.

• Weekend and overtime work may occasionally be requested.

• Attend occasional training or meetings at the Humana office.

⛳️ Requirements

• At least 1 year of experience in an administrative or technical support role within a healthcare setting.

• Strong verbal and written communication abilities.

• Familiarity with MS Office applications, including Word, Excel, and Outlook, in a Windows-based environment.

• Capability to quickly adapt to new systems.

• Proficiency in using electronic medical record and documentation software.

• Knowledge and/or experience with medical terminology and/or ICD-10 codes.

• A Bachelor's Degree in Business, Finance, or a related field.

• Previous experience in member service or customer service via telephone is preferred.

• Experience with Utilization Review and/or Prior Authorization, ideally within a managed care organization.

• Minimum internet speed of 25 Mbps download and 10 Mbps upload.

• Ability to work from a designated space without ongoing interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Remote work opportunities.

• Dedicated home workspace.

• Occasional travel for training or meetings.