Job added in hotlist
Applied job
Contract job
90-day-old-job
part-time-job
Recruiter job
Employer job
Expanded search
Apply online not available
View more jobs in Miami, FL
View more jobs in Florida

Job Details

UM Administration Coordinator 2- Doral - FL

Company name
Humana Inc.

Location
Miami, FL, United States

Employment Type
Full-Time

Industry
Customer Service, Administrative

Posted on
Feb 24, 2022

Apply for this job






Profile

Job Information

Humana

UM Administration Coordinator 2- Doral - FL

in

Miami

Florida

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Administration Coordinator 2

Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members

Will handle requests from the provider side (doctors, primary care physicians, specialists, etc.).

Decisions are typically focused on interpretation of area/department policy and methods for completing assignments

Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction

Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

3 years of customer service experience in healthcare or medical field

Proficient and/or experienced with medical terminology and/or ICD-10 codes

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

Schedule may be Monday-Friday or Tuesday - Saturday, rotating weekends and overtime, pending business needs

Must reside within commuting distance to Doral Office

Preferred Qualifications

Bachelor's Degree

Proficient utilizing electronic medical record and documentation programs

Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

For this job, associates are required to be fully COVID vaccinated, including booster (preferred) or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com

Similar Jobs:
Front End Supervisor
Location : Fort Lauderdale, FL
Best Buy The Front-End Supervisor enables Best Buy to deliver personalized service to ensure customers are provided full solutions to meet their needs. This person is a key player in driving effective front of store processes whic...
Customer Service Engineer
Location : Miami, FL
Responsibilities • Be efficient and productive with the ability to balance and prioritize multiple tasks Possess excellent analytical and problem solving skills Have the ability to adapt to a fast-changing environment Take ownersh...
Omni supports many clients. Independent contractors who are among the qualified candidates will provide customer service (taking inbound phone calls, answering chat messages, & responding to emails) for Fortune 500 companies. ...
I was very pleased with the CustomerServiceCrossing. I found a great position within a short amount of time … I definitely recommend this to anyone looking for a better opportunity.
Jose M - Santa Cruz, CA
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
CustomerServiceCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
CustomerServiceCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 CustomerServiceCrossing - All rights reserved. 168 192