Administration Coordinator

This is a fully remote position, open to applicants in Illinois, +6 more states.

📋 Description

• Oversee and arrange documentation pertaining to prior authorization requests, including clinical inquiries and the receipt of clinical materials.

• Maintain precise records and guarantee timely data entry into the clinical documentation system.

• Investigate participant status to ensure adherence to Humana policies.

• Confirm member eligibility and benefits for prior authorization requests.

• Facilitate the prior authorization process by managing clinical documentation, verifying member eligibility and benefits, and ensuring accurate and prompt processing of requests.

• Adhere to an 8:00 AM to 5:00 PM Eastern Time schedule, with weekend coverage as required by business needs and scheduling obligations.

• Occasionally visit Humana offices for training or meetings.

⛳️ Requirements

• At least one (1) year of administrative experience in a healthcare setting.

• Skilled in Microsoft Office applications, including Word, Excel, and Outlook, in a Windows-based environment.

• Eager to learn and utilize new systems, tools, and technologies.

• Experience with utilization review or prior authorization in a managed care organization is preferred.

• Proficient in using electronic medical records and documentation software is preferred.

• Familiarity with medical terminology and ICD-10 codes is preferred.

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

• A minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet is required.

• A dedicated workspace free from ongoing interruptions to safeguard member PHI/HIPAA information is essential.

🏝️ 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

• Wellness and healthcare decision support opportunities