Administration Coordinator

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Offer non-clinical assistance for utilization management policies and procedures.

• Deliver Long-Term Services and Supports (LTSS) utilization management assistance.

• Oversee shared mailboxes.

• Input data into work queues and clinical documentation systems.

• Dispatch letters and educational materials.

• Prepare documents for LTSS utilization management reviewers and Medical Directors.

• Ensure the timely and accurate submission of state-required deliverables.

• Collaborate with care coordinators and both internal and external stakeholders.

• Execute clerical tasks, computations, reporting, data tracking, report generation, and email monitoring/management.

• Make, receive, and perform soft transfers of calls with members, families, and providers.

• Guarantee timely communication and follow-up with care management.

• Engage in semi-routine assignments that may be subject to change.

• Travel occasionally to Humana offices for training or meetings.

⛳️ Requirements

• Must be a resident of Michigan.

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

• Excellent verbal and written communication skills.

• Proficient in Microsoft Word, Excel, and Outlook in a Windows environment.

• Capability to learn new software and systems.

• Experience with LTSS programs is preferred.

• Familiarity with LTSS Utilization Review and/or Prior Authorization, ideally within a managed care organization, is preferred.

• Competent in using electronic medical record and documentation systems is preferred.

• Knowledgeable or experienced with medical terminology and/or ICD-10 codes is preferred.

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

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

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

• Full engagement throughout the 4–6 week onboarding and training period is expected.

🏝️ 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 options.

• Flexible schedule with additional hours as needed.

• Comprehensive training and onboarding program.